1413 Fulton St Pharmacy, Corp.

NPI #1275664302 in Brooklyn, New York

Provider Information

NPI Number: 1275664302
Entity Type: Organization
Organization Name: 1413 Fulton St Pharmacy, Corp.
Primary Specialty: Pharmacist
Enumeration Date: Mar 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1413 FULTON ST
City: Brooklyn
State: New York
ZIP Code: 11216-2607
Phone: (718) 638-5088

Authorized Official

Name: MR. ROBERT ALLAN BERMAN, RPH.
Title: TRES.
Phone: (718) 638-5088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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