NPI 1003174392

Wonder Pharmacy Corp.

Organisation Community/Retail Pharmacy Brooklyn, NY

Practice location

Address: 1665 Ralph Ave, Brooklyn, NY 11236-3317
Phone: (718) 209-3434
Fax: (718) 209-3279

Authorised official

Name: Irina Ospovat
Title: President
Phone: (718) 209-3434

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 031133 (NY)

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Registry record

NPI: 1003174392
Entity type: Organization
NPI issued: 25 Apr 2012
Record last updated: 11 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.