Organization
IRVING PHARMACY CORP.
Active
Other names
IRVING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JITENDRA PATEL (OFFICER)
(718) 848-1120
Entity
Organization
Contact information
Practice address
118 WYCKOFF AVE, BROOKLYN, NY 11237-8069
(718) 484-8510
(718) 484-8508
Mailing address
118 WYCKOFF AVE, BROOKLYN, NY 11237-8069
(718) 484-8510
(718) 484-8508
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03111442
—
NY
Enumeration date
04/22/2009
Last updated
05/06/2024
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