Organization
IBRAM PHARMACY INC
Active
Other names
Seaview Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FEBY MOUSA (PRESIDENT)
(718) 667-6777
Entity
Organization
Contact information
Practice address
1762 HYLAN BLVD, STATEN ISLAND, NY 10305-1932
(718) 667-6777
(718) 667-6778
Mailing address
1762 HYLAN BLVD, STATEN ISLAND, NY 10305-1932
(718) 667-6777
(718) 667-6778
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03906172
—
NY
01
—
2144907
PK
—
Enumeration date
03/10/2014
Last updated
03/10/2023
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