Organization
CORNER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN RUBIN (PRESIDENT)
(718) 599-2771
Entity
Organization
Contact information
Practice address
166 DIVISION AVE, BROOKLYN, NY 11211-7108
(718) 599-2771
(718) 599-1474
Mailing address
166 DIVISION AVE, BROOKLYN, NY 11211-7108
(718) 599-2771
(718) 599-1474
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
040080 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01639385
—
NY
Enumeration date
12/26/2006
Last updated
02/04/2010
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