Organization
MYRTLE PHARMACY INC
Active
Other names
MYRTLE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEYBENGRUB PHARMACIST (PRESIDENT)
(718) 237-4444
Entity
Organization
Contact information
Practice address
446A MYRTLE AVE, BROOKLYN, NY 11205-2414
(718) 237-4444
(718) 237-1414
Mailing address
446A MYRTLE AVE, BROOKLYN, NY 11205-2414
(718) 237-4444
(718) 237-1414
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027115
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2063773
PK
—
05
—
2647583
—
NY
Enumeration date
12/18/2006
Last updated
10/23/2014
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