Organization
NEW UTRECHT PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAYER MALTZ R.PH. (PHARMACY MANAGER)
(718) 436-9300
Entity
Organization
Contact information
Practice address
4624 NEW UTRECHT AVE, BROOKLYN, NY 11219-2545
(718) 436-9300
Mailing address
4624 NEW UTRECHT AVE, BROOKLYN, NY 11219-2545
(718) 436-9300
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3370640
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00518098
—
NY
Enumeration date
01/17/2007
Last updated
02/03/2008
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