Organization
RED HOOK PHARMACY CORP
Active
Other names
Nates Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS NATENZON (PRESIDENT)
(718) 720-3710
Entity
Organization
Contact information
Practice address
376 VAN BRUNT ST, BROOKLYN, NY 11231-1235
(718) 797-0200
Mailing address
376 VAN BRUNT ST, BROOKLYN, NY 11231-1235
(718) 797-0200
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
026309
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02473912
—
NY
Enumeration date
07/17/2015
Last updated
11/03/2016
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