Organization
RUBINO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS RUBINO (OWNER)
(718) 256-5052
Entity
Organization
Contact information
Practice address
6602 17TH AVE, BROOKLYN, NY 11204-4303
(718) 256-5052
Mailing address
6602 17TH AVE, BROOKLYN, NY 11204-4303
(718) 256-5052
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00268020
—
NY
01
—
3309831
NCDCP
—
Enumeration date
12/09/2005
Last updated
08/22/2020
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