Organization
GIANT PITKIN PHARMACY INC
Active
Other names
Health Mart Pitkin Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KEN LEE PHARM.D., RPH (PRESIDENT, PIC)
(347) 955-5506
Entity
Organization
Contact information
Practice address
2232 PITKIN AVE, BROOKLYN, NY 11207-3621
(347) 955-5506
(347) 406-7124
Mailing address
2232 PITKIN AVE, BROOKLYN, NY 11207-3621
(347) 955-5506
(347) 406-7124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032751
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03992894
—
NY
01
—
2146194
PK
—
Enumeration date
04/24/2014
Last updated
03/31/2017
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