86TH STREET COMMUNITY PHARMACY CORP.
Pharmacy at 86 St, Brooklyn, NY

License number
New York 025929
Category
Pharmacy
Type
Pharmacist
Owner
Name: MRS. VICKIE MARTINO RPH
Title: PRESIDENT / SUPV. RPH
Phone: (718) 266-2137
Address
Address
2789 86Th St, Brooklyn, NY 11223
National Provider ID: 1093732513
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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86TH STREET COMMUNITY PHARMACY CORP

2789 86 St, Brooklyn, NY 11223

Industry:
Ret Drugs/Sundries
Doing business as:
86th Street Community Pharmacy
Registration:
Feb 6, 2003
State ID:
2866585
Business type:
DOMESTIC BUSINESS CORPORATION
Director Of Pharmacy, Pharmacists:
Vickie Martino (Director Of Pharmacy, Owner, President), 2789 86 St, Brooklyn, NY 11223 (Physical),Gary Kagan (Director Of Pharmacy, Pharmacist)

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