Organization
ISLAND PHARMACY INC
Active
Other names
ISLAND PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MARINA SAMBORSKY (PHARMACIST)
(718) 336-2800
Entity
Organization
Contact information
Practice address
1841 CONEY ISLAND AVE, BROOKLYN, NY 11230-6512
(718) 336-2800
(718) 998-1105
Mailing address
1841 CONEY ISLAND AVE, BROOKLYN, NY 11230-6512
(718) 336-2800
(718) 998-1105
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023212
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01729551
—
NY
01
—
3319351
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/09/2006
Last updated
11/28/2011
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