Organization
1491 DEKALB AVE PHARMACY INC
Active
Other names
DEKALB PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAZI ANAM (PRES)
(718) 381-0018
Entity
Organization
Contact information
Practice address
1472 DEKALB AVE, BROOKLYN, NY 11237-3604
(718) 381-0018
(718) 456-4983
Mailing address
1472 DEKALB AVE, BROOKLYN, NY 11237-3604
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
018542
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01313964
—
NY
01
—
3383243
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/26/2006
Last updated
09/11/2025
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