Organization
1413 FULTON ST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BERMAN RPH (TRES.)
(718) 638-5055
Entity
Organization
Contact information
Practice address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 638-5088
Mailing address
1413 FULTON ST, BROOKLYN, NY 11216-2607
(718) 638-5088
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
015396
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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