Organization
BLUESMAN PHARMACY INC
Active
Other names
Marty's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY NIEDELMAN RPH (PRESIDENT)
(718) 251-1313
Entity
Organization
Contact information
Practice address
9422 AVENUE L, BROOKLYN, NY 11236-4809
(718) 251-1313
(718) 251-7792
Mailing address
9422 AVENUE L, BROOKLYN, NY 11236-4809
(718) 251-1313
(718) 251-7792
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
014605
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00266899
—
NY
Enumeration date
11/13/2008
Last updated
09/07/2011
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