Healthcare Provider Details

I. General information

NPI: 1134678998
Provider Name (Legal Business Name): WYCKOFF & BLEECKER DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 WYCKOFF AVE
BROOKLYN NY
11237-5303
US

IV. Provider business mailing address

235 WYCKOFF AVE
BROOKLYN NY
11237-5303
US

V. Phone/Fax

Practice location:
  • Phone: 718-366-3300
  • Fax: 718-366-3302
Mailing address:
  • Phone: 718-366-3300
  • Fax: 718-366-3302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. FARAH S RAZVI
Title or Position: PRESIDENT
Credential:
Phone: 917-399-9734