Organization
LINDENVIEW RAINDEW CORP
Active
Other names
RAINDEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BASSUK (SP)
(718) 762-8041
Entity
Organization
Contact information
Practice address
25 39 PARSONS BLVD, FLUSHING, NY 11354-1296
(718) 762-8041
(718) 762-8130
Mailing address
25 39 PARSONS BLVD, FLUSHING, NY 11354-1296
(718) 762-8041
(718) 762-8130
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021484
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01424368
—
NY
01
—
3326382
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/10/2011
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