Organization
SEGAL PHARMACY INC
Active
Other names
THE DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
REUBEN SEGAL (PRESIDENT)
(718) 436-1100
Entity
Organization
Contact information
Practice address
5214 16TH AVE, BROOKLYN, NY 11204-1408
(718) 436-1100
(718) 436-1206
Mailing address
5214 16TH AVE, BROOKLYN, NY 11204-1408
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
016777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00464728
—
NY
01
—
3369445
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
01/04/2007
Last updated
09/12/2007
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