Organization
3921 9TH AVE PHARMACY INC
Active
Other names
Phillips Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLIVERA PERUNOVIC (PRESIDENT)
(718) 435-7790
Entity
Organization
Contact information
Practice address
3921 9TH AVE, BROOKLYN, NY 11232-3207
(718) 435-7790
(718) 871-8020
Mailing address
3921 9TH AVE, BROOKLYN, NY 11232-3207
(718) 435-7790
(718) 871-8020
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01791235
—
NY
Enumeration date
02/12/2007
Last updated
11/15/2012
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