Healthcare Provider Details
I. General information
NPI: 1174287452
Provider Name (Legal Business Name): DYKER CARE PHARMA CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2021
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7426 15TH AVE
BROOKLYN NY
11228-2219
US
IV. Provider business mailing address
7426 15TH AVE
BROOKLYN NY
11228-2219
US
V. Phone/Fax
- Phone: 347-384-8763
- Fax:
- Phone: 347-384-8763
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBINSON
A.
ESTEVEZ
Title or Position: PRESIDENT
Credential:
Phone: 718-216-5555