Organization
786 FM CORP
Active
Other names
canarsie plaza pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FAISAL MUSHTAQ (PRESIDENT)
(718) 257-2344
Entity
Organization
Contact information
Practice address
8721 FLATLANDS AVE, BROOKLYN, NY 11236-3609
(718) 257-2344
(718) 257-2364
Mailing address
8721 FLATLANDS AVE, BROOKLYN, NY 11236-3609
(718) 257-2344
(718) 257-2364
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158969
PK
—
Enumeration date
09/12/2015
Last updated
06/02/2016
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