Organization
MANHATTAN BEACH PHARMACY INC
Active
Other names
MANHATTAN BEACH PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR VAKSER (PRESIDENT)
(718) 332-2210
Entity
Organization
Contact information
Practice address
1224 AVENUE U, BROOKLYN, NY 11229-4107
(718) 332-2210
(718) 332-5510
Mailing address
1224 AVENUE U, BROOKLYN, NY 11229-4107
(718) 332-2210
(718) 332-5510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
027503
NY
3336C0003X
Community/Retail Pharmacy
Primary
027503
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02720932
—
NY
01
—
2066378
PK
—
Enumeration date
05/20/2006
Last updated
11/08/2016
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