Boardwalk Rx Corp

NPI 1093960056 - Pharmacy - 3336C0003X

NPI Details
NPI 1093960056
Enumeration Date 11/18/2008
Last Updated 07/06/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name STANISLAV STANISLAV
Position PRESIDENT
Phone (718) 996-7600
Fax (718) 996-7601
Practice Location
3100 OCEAN PKWY
BROOKLYN NY, 11235-8439, US
Phone (718) 996-7600
Fax (718) 996-7601
Business Location
3100 OCEAN PKWY
BROOKLYN NY, 11235-8439, US
Phone (718) 996-7600
Fax (718) 996-7601
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 029236
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According to our database, Boardwalk Rx Corp NPI is 1093960056, taxonomy code is 3336C0003X and license number is 029236, license state is located at New York. Boardwalk Rx Corp physically located at 3100 Ocean Pkwy, Brooklyn NY, 11235-8439. NPI Number 1033115704 has the healthcare provider type.

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1093960056 NPI number is provided on an as is basis without warranty of any kind. 1093960056 is maintained by the National Plan & Provider Enumeration System. The contents of Boardwalk Rx Corp are for informational purposes only.