Organization
BORO PARK PHARMACY CORP.
Active
Other names
Boro Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AKIVA TESSLER (SUPERVISING PHARMACIST)
(718) 982-8505
Entity
Organization
Contact information
Practice address
5600 NEW UTRECHT AVE, BROOKLYN, NY 11219-4631
(718) 480-0700
(718) 480-7801
Mailing address
5600 NEW UTRECHT AVE, BROOKLYN, NY 11219-4631
(718) 480-0700
(718) 480-7801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035195
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175771
PK
—
Enumeration date
02/14/2018
Last updated
02/14/2018
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