Organization
FAMILY PHARMACY INC
Active
Other names
FAMILY PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE JANNAZZO RPH (VP AND SUPERVISING PHCST)
(718) 821-3330
Entity
Organization
Contact information
Practice address
67 02 MYRTLE AVE, GLENDALE, NY 11385
(718) 821-3330
(718) 821-3727
Mailing address
67 02 MYRTLE AVE, GLENDALE, NY 11385
(718) 821-3330
(718) 821-3727
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02572452
—
NY
01
—
2062791
PK
—
Enumeration date
07/18/2006
Last updated
02/28/2017
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