Healthcare Provider Details

I. General information

NPI: 1831517101
Provider Name (Legal Business Name): CRJ PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2014
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 FULTON ST
BROOKLYN NY
11216-5219
US

IV. Provider business mailing address

1341 FULTON ST
BROOKLYN NY
11216-5219
US

V. Phone/Fax

Practice location:
  • Phone: 718-676-0157
  • Fax: 718-676-0159
Mailing address:
  • Phone: 718-676-0157
  • Fax: 718-676-0159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LINCOLN BROWN
Title or Position: PRESIDENT
Credential:
Phone: 718-676-0157