Organization
KINGS THIRD AVE. PHARMACY LLC
Active
Other names
KINGS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MASSACHI (CLINICAL PHARMACIST)
(718) 230-3535
Entity
Organization
Contact information
Practice address
1619 3RD AVE, NEW YORK, NY 10128-3459
(212) 534-6000
(212) 534-6300
Mailing address
1619 3RD AVE, NEW YORK, NY 10128-3459
(212) 534-6000
(212) 534-6300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025191
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02216342
—
NY
01
—
039773
NYS LICENSE
NY
01
—
3324112
CURRENT NABP #
NY
Enumeration date
08/05/2006
Last updated
03/07/2023
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