Organization
2818 FULTON STREET PHARMACY INC
Active
Other names
FULTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (BOOKKEEPER)
(718) 991-3519
Entity
Organization
Contact information
Practice address
2818 FULTON ST, BROOKLYN, NY 11207-2608
(718) 235-6394
(718) 874-3903
Mailing address
PO BOX 740054, BRONX, NY 10474-0001
(718) 235-6394
(718) 874-3903
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028392
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02861181
—
NY
01
—
2059782
PK
—
Enumeration date
07/30/2006
Last updated
06/21/2016
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