Organization
KOCH PHARMACY CORP
Active
Other names
ELKOCH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABU J SIDDIQUE RPH (VICE PRESIDENT DIRECTOR OF PHARMACY)
(718) 381-0120
Entity
Organization
Contact information
Practice address
126 WYCKOFF AVE, BROOKLYN, NY 11237-4308
(718) 381-0120
(718) 381-5780
Mailing address
126 WYCKOFF AVE, BROOKLYN, NY 11237-4308
(718) 381-0120
(718) 381-5780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
025408
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02248873
—
NY
Enumeration date
02/01/2007
Last updated
02/25/2011
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