Organization
POLKOR PHARMACY INC
Active
Other names
Markowa Apteka Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YONG TAE CHANG RPH (PHARMACIST)
(718) 389-0389
Entity
Organization
Contact information
Practice address
831 MANHATTAN AVE, BROOKLYN, NY 11222-2507
(718) 389-0389
(718) 389-0475
Mailing address
831 MANHATTAN AVE, BROOKLYN, NY 11222-2507
(718) 389-0389
(718) 389-0475
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03457150
—
NY
01
—
5805099
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/19/2012
Last updated
12/16/2020
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