Organization
BARACK PHARMACY & FOOD MART INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAZLI UMAR (PRESIDENT)
(347) 295-3654
Entity
Organization
Contact information
Practice address
5640 MYRTLE AVE, RIDGEWOOD, NY 11385-4736
(347) 295-3654
Mailing address
5640 MYRTLE AVE, RIDGEWOOD, NY 11385-4736
(347) 295-3654
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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