Organization
NOSTRAND HOUSES PHARMACY LLC
Active
Other names
NOSTRAND HOUSES PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORY SMOLYAR PHARMD (PRESIDENT)
(718) 332-0040
Entity
Organization
Contact information
Practice address
3031 AVENUE V, BROOKLYN, NY 11229-5448
(718) 332-0040
(718) 332-1171
Mailing address
3031 AVENUE V, BROOKLYN, NY 11229-5448
(718) 332-0040
(718) 332-1171
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028717
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189243
—
NJ
05
—
028717
—
NY
05
—
02952330
—
NY
05
—
1022691050001
—
PA
01
—
2070137
PK
—
05
—
2952330
—
NY
Enumeration date
02/12/2008
Last updated
10/23/2014
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