Organization
NORTHSIDE PHARMACY CORP
Active
Other names
NORTHSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HALINA JOSEPHINE JANKOWSKI RPH (RPH)
(718) 387-6566
Entity
Organization
Contact information
Practice address
559 DRIGGS AVE, BROOKLYN, NY 11211-2911
(718) 387-6566
(718) 782-7101
Mailing address
559 DRIGGS AVE, BROOKLYN, NY 11211-2911
(718) 387-6566
(718) 782-7101
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023754
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01858497
—
NY
01
—
2065344
PK
—
Enumeration date
06/24/2006
Last updated
09/13/2022
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