Organization
BROOKLYN DRUGS INC
Active
Other names
LIFELINE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FORKOSH RPH (PIC)
(718) 259-4445
Entity
Organization
Contact information
Practice address
7202 13TH AVE, BROOKLYN, NY 11228-2009
(718) 259-4445
(718) 259-0504
Mailing address
7202 13TH AVE, BROOKLYN, NY 11228-2009
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
025931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02388452
—
NY
01
—
3331939
OTHER ID NUMBER
—
Enumeration date
11/17/2005
Last updated
02/01/2008
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