Healthcare Provider Details

I. General information

NPI: 1164672432
Provider Name (Legal Business Name): RBS GROUP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 05/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 57TH ST UNIT 1
BROOKLYN NY
11220-3617
US

IV. Provider business mailing address

829 57TH ST UNIT 1
BROOKLYN NY
11220-3617
US

V. Phone/Fax

Practice location:
  • Phone: 718-484-4628
  • Fax: 718-484-4630
Mailing address:
  • Phone: 718-484-4628
  • Fax: 718-484-4630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number029088
License Number StateNY

VIII. Authorized Official

Name: MR. JAMES LAU
Title or Position: SUPERVISING PHARMACIST
Credential: PHARMACIST
Phone: 718-484-4628