Organization
DRUG MART PHARMACY CORP
Active
Other names
DRUG MART PHARMACY CORP
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICK LETTIERI RPH (SUPERVISING PHRM)
(718) 633-4900
Entity
Organization
Contact information
Practice address
4914 NEW UTRECHT AVE, BROOKLYN, NY 11219-3418
(718) 633-4900
(718) 435-0324
Mailing address
4914 NEW UTRECHT AVE, BROOKLYN, NY 11219-3418
(718) 633-4900
(718) 435-0324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020049
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01113919
—
NY
01
—
2065550
PK
—
Enumeration date
01/04/2007
Last updated
11/29/2016
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