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Organization

ASHLAND PHARMACY INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWIN OMAR GBENEBITSE R.PH,M.S (SUPERVISING PHARMACISTS-PRESIDENT)
(718) 834-9884
Entity
Organization

Contact information

Practice address
123 DEKALB AVE, BROOKLYN, NY 11217-1237
(718) 834-9884
(718) 834-9567
Mailing address
123 DEKALB AVE, BROOKLYN, NY 11217-1237
(718) 834-9884
(718) 834-9567

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
020974
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3374802
NABP
NY
Enumeration date
01/29/2007
Last updated
01/20/2011
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