Organization
NOSTRAND PHARMACY LLC
Active
Other names
VANDERVEER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HEMAGIRI GAYAM (PRESIDENT)
(718) 282-2956
Entity
Organization
Contact information
Practice address
1887 NOSTRAND AVE, BROOKLYN, NY 11226-7917
(718) 282-2956
(718) 282-6556
Mailing address
1887 NOSTRAND AVE, BROOKLYN, NY 11226-7917
(718) 282-2956
(718) 282-6556
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030625
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5802396
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/23/2011
Last updated
09/02/2011
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