Organization
CHURCH AVE PHARMACY INC
Active
Other names
CHURCH AVE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
YEFIM BUBIS (SUPERVISOR PHARMACIST)
(718) 941-2200
Entity
Organization
Contact information
Practice address
1810 CHURCH AVE, BROOKLYN, NY 11226
(718) 941-2200
(718) 941-2300
Mailing address
1810 CHURCH AVE, BROOKLYN, NY 11226
(718) 941-2200
(718) 941-2300
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2123154
PK
—
05
—
3176450
—
NY
Enumeration date
12/02/2009
Last updated
06/02/2023
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