Healthcare Provider Details

I. General information

NPI: 1871680074
Provider Name (Legal Business Name): CROPSEY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2006
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2527 CROPSEY AVE
BROOKLYN NY
11214-6603
US

IV. Provider business mailing address

PO BOX 9830
SALT LAKE CITY UT
84109
US

V. Phone/Fax

Practice location:
  • Phone: 718-449-0434
  • Fax: 718-373-7061
Mailing address:
  • Phone: 877-540-4748
  • Fax: 801-716-4872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number009790
License Number StateNY

VIII. Authorized Official

Name: ALFONSO MORRONE
Title or Position: PRES
Credential:
Phone: 718-449-0434