Organization
AREESHA PHARMACY INC
Active
Other names
OCEANSIDE PHARMACY AND SUPER MARKET
Organization subpart
No
Provider details
NPI number
Authorized official
FAZA L (MANG)
(718) 996-4949
Entity
Organization
Contact information
Practice address
3206 MERMAID AVE, BROOKLYN, NY 11224-1810
(718) 996-4949
(718) 996-3676
Mailing address
3206 MERMAID AVE, BROOKLYN, NY 11224-1810
(718) 996-4949
(718) 996-3676
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028446
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2059878
PK
—
05
—
2867650
—
NY
Enumeration date
09/20/2006
Last updated
01/18/2017
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