Healthcare Provider Details

I. General information

NPI: 1508549445
Provider Name (Legal Business Name): A & G PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1216 NEPTUNE AVE
BROOKLYN NY
11224-2903
US

IV. Provider business mailing address

1216 NEPTUNE AVE
BROOKLYN NY
11224-2903
US

V. Phone/Fax

Practice location:
  • Phone: 718-996-2277
  • Fax:
Mailing address:
  • Phone: 718-996-2277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALEX KAMINSKY
Title or Position: PRESIDENT
Credential:
Phone: 718-996-2277