Organization
AL-MEDINA PHARMACY INC
Active
Other names
AL MEDINA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANISUL HASAN (SUPERVISING PHARMACIST)
(718) 941-2669
Entity
Organization
Contact information
Practice address
1242 FLATBUSH AVE, BROOKLYN, NY 11226-7619
(718) 941-2669
(718) 941-0935
Mailing address
1242 FLATBUSH AVE, BROOKLYN, NY 11226-7619
(718) 941-2669
(718) 941-0935
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549119
—
NY
01
—
2058825
PK
—
Enumeration date
11/06/2006
Last updated
04/05/2017
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