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Organization

FULTON PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL LANDES (PRESIDENT)
(718) 235-6394
Entity
Organization

Contact information

Practice address
2818 FULTON ST, BROOKLYN, NY 11207-2608
(718) 235-6394
Mailing address
2818 FULTON ST, BROOKLYN, NY 11207-2608

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
022727
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01588921
NY
Enumeration date
08/08/2006
Last updated
08/22/2020
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