Organization
SAFETY DRUGS OF BENSONHURST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PETRATOS RPH (VP)
(718) 236-5705
Entity
Organization
Contact information
Practice address
6404 18TH AVE, BROOKLYN, NY 11204-3729
(718) 236-5705
(718) 234-0961
Mailing address
6404 18TH AVE, BROOKLYN, NY 11204-3729
(718) 236-5705
(718) 234-0961
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
017831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00782930
—
NY
01
—
2061820
PK
—
Enumeration date
10/07/2006
Last updated
11/15/2024
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