Organization
MEDICINE DEPOT INC
Active
Other names
MEDICINE DEPOT INC
Organization subpart
No
Provider details
NPI number
Authorized official
YEUK CHUN NG (SUPERVISOR PHARMACIST)
(347) 393-2686
Entity
Organization
Contact information
Practice address
86 MANHATTAN AVE, BROOKLYN, NY 11206-2501
(718) 963-3923
(718) 963-3931
Mailing address
86 MANHATTAN AVE, BROOKLYN, NY 11206-2501
(718) 963-3923
(718) 963-3931
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028204
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2068732
PK
—
05
—
2860671
—
NY
Enumeration date
01/29/2007
Last updated
02/20/2017
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