Organization
18TH AVENUE DRUG STORE INC
Active
Other names
RX WORLD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARAT BLUSTIN (OWNER/SEC)
(917) 922-3204
Entity
Organization
Contact information
Practice address
8110 18TH AVE, BROOKLYN, NY 11214-2201
(718) 232-5566
(718) 232-5255
Mailing address
8110 18TH AVE, BROOKLYN, NY 11214-2201
(718) 232-5566
(718) 232-5255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
027708
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02673256
—
NY
01
—
3351044
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
03/01/2010
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