Organization
BRIGHTON 11TH PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SAVKUB RPH (SUPERVISING RPH CFO)
(718) 934-0022
Entity
Organization
Contact information
Practice address
124 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5375
(718) 934-0022
(718) 934-1383
Mailing address
124 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5375
(718) 934-0022
(718) 934-1383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
047113
NY
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02513275
—
NY
01
—
3336333
NABP
NY
Enumeration date
10/09/2006
Last updated
03/07/2023
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