Organization
FOREST PHARMACY LLC
Active
Other names
FOREST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DARSHANKUMAR BHATT (SUPERVISING PHARMACIST / MEMBE)
(718) 447-5900
Entity
Organization
Contact information
Practice address
2236 FOREST AVE STE 5, STATEN ISLAND, NY 10303-1714
(718) 447-5900
(718) 447-5902
Mailing address
2236 FOREST AVE, SUITE # 5, STATEN ISLAND, NY 10303-1747
(718) 447-5900
(718) 447-5902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030699
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03397495
—
NY
01
—
2130333
PK
—
Enumeration date
05/12/2011
Last updated
10/12/2016
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