Organization
FUNMILAYO PHARMACY INC
Active
Other names
CATON CHEMISTS
Organization subpart
No
Provider details
NPI number
Authorized official
PAT IDOWU (MANAGER)
(718) 853-1110
Entity
Organization
Contact information
Practice address
1563 RALPH AVE, BROOKLYN, NY 11236-3127
(718) 853-1110
(718) 853-1717
Mailing address
1563 RALPH AVE, BROOKLYN, NY 11236-3127
(718) 853-1110
(718) 853-1717
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021071
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01282640
—
NY
01
—
2067102
PK
—
Enumeration date
12/13/2006
Last updated
11/29/2016
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