Organization
GOODYEAR FOUR BOYS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY A. APPEL RPH (PRESIDENT)
(718) 375-3456
Entity
Organization
Contact information
Practice address
2584 CONEY ISLAND AVE, BROOKLYN, NY 11223-5028
(718) 375-3456
Mailing address
2584 CONEY ISLAND AVE, BROOKLYN, NY 11223-5028
(718) 375-3456
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
021657
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01406188
—
NY
Enumeration date
12/14/2006
Last updated
08/22/2020
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