Organization
COLONIAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DENARO (PRESIDENT)
(718) 238-1445
Entity
Organization
Contact information
Practice address
9920-4TH AVENUE, BROOKLYN, NY 11209
(718) 238-1445
(718) 238-0856
Mailing address
9920 4TH AVE, BROOKLYN, NY 11209-8333
(718) 238-1445
(718) 238-0856
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021573
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551908
—
NY
Enumeration date
05/17/2007
Last updated
06/19/2008
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