Healthcare Provider Details

I. General information

NPI: 1396153680
Provider Name (Legal Business Name): PHARMA HOLDING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 KENT AVE
BROOKLYN NY
11249-5601
US

IV. Provider business mailing address

572 BEDFORD AVE
BROOKLYN NY
11249-7608
US

V. Phone/Fax

Practice location:
  • Phone: 718-384-7334
  • Fax: 718-599-5155
Mailing address:
  • Phone: 718-384-7334
  • Fax: 718-599-5155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA FINKEL
Title or Position: CEO
Credential:
Phone: 718-687-8091