Organization
DEBARIM INC
Active
Other names
Central Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA RENEE PH.D (MANAGER)
(718) 464-0050
Entity
Organization
Contact information
Practice address
21874 HEMPSTEAD AVE, QUEENS VILLAGE, NY 11429-2166
(718) 464-0050
(718) 464-0045
Mailing address
21874 HEMPSTEAD AVE, QUEENS VILLAGE, NY 11429-2166
(718) 464-0050
(718) 464-0045
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038965
LICENSE
NY
Enumeration date
08/05/2021
Last updated
09/20/2021
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