Organization
CRYSTAL PHARMACY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE AZAYEVA (SECRETARY)
(917) 207-1906
Entity
Organization
Contact information
Practice address
2950 AVENUE X STE B, BROOKLYN, NY 11235-1874
(718) 942-5800
(718) 942-5799
Mailing address
2950 AVENUE X STE B, BROOKLYN, NY 11235-1874
(718) 942-5800
(718) 942-5799
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/20/2013
Last updated
10/02/2013
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