Organization
63 LEE AVE PHARMACY INC
Active
Other names
Stuart Slater Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART SLATER RPH (PRES SPH)
(718) 387-2852
Entity
Organization
Contact information
Practice address
63 LEE AVE, BROOKLYN, NY 11211-7213
(718) 387-2852
(718) 388-4376
Mailing address
63 LEE AVE, BROOKLYN, NY 11211-7213
(718) 387-2852
(718) 388-4376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
013502
NY
333600000X
Pharmacy
Primary
013502
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00268644
—
NY
01
—
3326902
NCPDP NUMBER
NY
Enumeration date
03/20/2007
Last updated
03/08/2011
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