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Provider Information for 1013014950


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NATURES APOTHECARY INC

Other Names:  
Doing Business As: 
NATURES EMPORIUM

Organization Subpart: NO

NPI: 1013014950
Last Updated: 2013-01-08
Certification Date:

Details

NameValue
NPI1013014950
Enumeration Date2006-09-20
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: JOHN AZARELLI
Title: PRESIDENT
Phone: 7183757877
Mailing Address 1612 E 16TH ST
BROOKLYN, NY 11229-1108
United States

Phone: 718-375-7877 | Fax:718-382-5445
 
Primary Practice Address 1612 E 16TH ST
BROOKLYN, NY 11229-1108
United States

Phone: 718-375-7877 | Fax:718-382-5445
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNY02384265
Other (non-Medicare)3330331Other ID Number-Commercial Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 3336C0003X - Pharmacy - Community/Retail Pharmacy
Yes 333600000X - Pharmacy NY025612