Organization
JRSTAT PHARMACY INC
Active
Other names
JRSTAT PHARMACY INC.
Organization subpart
No
Provider details
NPI number
Authorized official
XIAO YU LAU (PRESIDENT)
(718) 633-2988
Entity
Organization
Contact information
Practice address
7107 13TH AVE, BROOKLYN, NY 11228-1605
(718) 633-2988
(718) 633-6388
Mailing address
7107 13TH AVE, BROOKLYN, NY 11228-1605
(718) 633-2988
(718) 633-6388
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028708
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02914818
—
NY
01
—
2063060
PK
—
Enumeration date
08/12/2006
Last updated
03/15/2017
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