Organization
PURGE HEALTH PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DESIRAL (PRESIDENT)
(347) 615-9275
Entity
Organization
Contact information
Practice address
10419 GLENWOOD ROAD, BROOKLYN, NY 11236
(347) 462-9497
(347) 629-9499
Mailing address
10419 GLENWOOD ROAD, BROOKLYN, NY 11236
(347) 462-9497
(347) 629-9499
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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