Organization
JODINE PHARMACEUTICAL CORP
Active
Other names
MISHKIN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SIDNEY (PARTNER)
(718) 452-3261
Entity
Organization
Contact information
Practice address
1127 BROADWAY, BROOKLYN, NY 11221-3001
(718) 452-3261
(718) 455-5345
Mailing address
1127 BROADWAY, BROOKLYN, NY 11221-3001
(718) 452-3261
(718) 455-5345
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02732754
—
NY
01
—
2063679
PK
—
Enumeration date
07/08/2006
Last updated
05/22/2019
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