Provider Demographics
NPI:1619719549
Name:S & K WARBASSE PHARMACY INC.
Entity type:Organization
Organization Name:S & K WARBASSE PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-693-6826
Mailing Address - Street 1:499 NEPTUNE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-4003
Mailing Address - Country:US
Mailing Address - Phone:718-449-5177
Mailing Address - Fax:718-449-1004
Practice Address - Street 1:499 NEPTUNE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-4003
Practice Address - Country:US
Practice Address - Phone:718-449-5177
Practice Address - Fax:718-449-1004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy