MEDICARE: D&V PHARMACY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265421390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&V PHARMACY CORPORATION

Provider Business Mailing Address
First Line	:	3401 AVENUE H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3350
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 AVENUE H
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-3350
Country	:	US
Telephone Number	:	718-859-3000
Fax Number	:	718-421-6185

Authorized Official
Title or Position	:	OWNER
Name	:	MR. BORIS SULEYMANOV
Credential	:
Telephone Number	:	718-859-3000

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	07/02/2025

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Directions to “D&V PHARMACY CORPORATION ” Practice Location

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