Organization
ELM PHARMACY, INC.
Active
Other names
Elm Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEIB GERSHKOVICH R.PH. (PRESIDENT)
(718) 336-8300
Entity
Organization
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 336-8300
(718) 336-8421
Mailing address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 336-8300
(718) 336-8421
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01633985
—
NY
01
—
3369988
NABP OR NCPDP
NY
01
—
A1298567
OXFORD DME PROVIDER #
NY
Enumeration date
11/03/2005
Last updated
08/22/2020
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