Organization
CASTLETON PHARMACY CORP
Active
Other names
Nates Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS NATENZON (PRESIDENT)
(917) 734-4662
Entity
Organization
Contact information
Practice address
252 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1749
(718) 720-5600
(718) 720-5612
Mailing address
516 BROADWAY, STATEN ISLAND, NY 10310-2804
(718) 720-3710
(718) 720-6135
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029846
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03135297
—
NY
01
—
3360308
NABP
NY
Enumeration date
11/28/2006
Last updated
11/16/2012
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