Organization
BROTHER RX INC.
Active
Other names
Smile Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SIMIAO FAN (OWNER)
(732) 799-5039
Entity
Organization
Contact information
Practice address
4411 8TH AVE, BROOKLYN, NY 11220-1513
(732) 799-5039
Mailing address
4411 8TH AVE, BROOKLYN, NY 11220-1513
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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