Organization
GUY BREWER PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON BATUROV RPH (PHARMACIST)
(718) 525-5005
Entity
Organization
Contact information
Practice address
11717 GUY R BREWER BLVD, JAMAICA, NY 11434-2148
(718) 525-5005
(718) 525-5006
Mailing address
11717 GUY R BREWER BLVD, JAMAICA, NY 11434-2148
(718) 525-5005
(718) 525-5006
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
048499
NY
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
08/02/2019
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