Organization
KINETIC PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LIU (PRESIDENT)
(718) 686-7288
Entity
Organization
Contact information
Practice address
784 61ST STREET, BROOKLYN, NY 11220-4337
(718) 686-7288
Mailing address
784 61ST STREET, BROOKLYN, NY 11220-4337
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
026558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02533008
—
NY
Enumeration date
08/31/2006
Last updated
01/15/2013
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