Organization
PURE WELL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID YAKUBOV (OWNER)
(718) 450-5597
Entity
Organization
Contact information
Practice address
478 CONEY ISLAND AVE, BROOKLYN, NY 11218-3409
(718) 450-5597
Mailing address
478 CONEY ISLAND AVE, BROOKLYN, NY 11218-3409
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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