Organization
GREENE VAN PHARMACY CORP
Active
Other names
PROSPECT DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEEN PARUPALLI (VICE-PRESIDENT)
(718) 783-0890
Entity
Organization
Contact information
Practice address
94 GREENE AVE, BROOKLYN, NY 11238-1011
(718) 783-0890
(718) 783-0893
Mailing address
94 GREENE AVE, BROOKLYN, NY 11238-1011
(718) 783-0890
(718) 783-0893
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023322
NY
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01813432
—
NY
01
—
2064159
PK
—
Enumeration date
10/04/2005
Last updated
03/06/2023
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