Organization
86TH ST PHARMACY CORP
Active
Other names
EISENBURG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA ROZENFELD RPH (PRES AND PHARM)
(718) 743-1200
Entity
Organization
Contact information
Practice address
203 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7406
(718) 743-1200
(718) 743-1029
Mailing address
203 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-7406
(718) 743-1200
(718) 743-1029
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
025523
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02278215
—
NY
01
—
3303461
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/20/2006
Last updated
01/17/2023
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