Organization
ROMEO & ROSA CORP
Active
Other names
Sunset Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROMEO GONZALEZ (SUPERVISING PHARMACIST)
(718) 915-4255
Entity
Organization
Contact information
Practice address
4510 5TH AVE, BROOKLYN, NY 11220-1206
(718) 633-6533
(718) 633-6511
Mailing address
4510 5TH AVE, BROOKLYN, NY 11220-1206
(718) 633-6533
(718) 633-6511
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5804489
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/06/2011
Last updated
06/05/2012
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