Organization
SOS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHUSHANA SEMENOV (PRESIDENT)
(917) 933-4000
Entity
Organization
Contact information
Practice address
1201 AVENUE Z, BROOKLYN, NY 11235-4301
(917) 933-4000
(917) 933-4004
Mailing address
1201 AVENUE Z, BROOKLYN, NY 11235-4301
(917) 933-4000
(917) 933-4004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
032055
NY STATE LICENSE
NY
05
—
03633823
—
NY
01
—
5808211
NCPDP
NY
01
—
6979960001
MEDICARE NSC
NY
Enumeration date
05/08/2013
Last updated
02/17/2014
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