Organization
KINGSWAY PHARMACY CORP
Active
Other names
Family Drugstore
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR MOSHCHINSKY (PRESIDENT)
(718) 382-7700
Entity
Organization
Contact information
Practice address
1402 KINGS HWY, BROOKLYN, NY 11229-2004
(718) 382-7700
(718) 645-8655
Mailing address
1402 KINGS HWY, BROOKLYN, NY 11229-2004
(718) 382-7700
(718) 645-8655
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024946
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02120487
—
NY
01
—
2062841
PK
—
Enumeration date
12/04/2006
Last updated
03/06/2017
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