Provider Demographics
NPI:1033878145
Name:NEW UTRECHT PHARMACY INC.
Entity Type:Organization
Organization Name:NEW UTRECHT PHARMACY INC.
Other - Org Name:DOSETRAK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-436-9300
Mailing Address - Street 1:4624 NEW UTRECHT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2544
Mailing Address - Country:US
Mailing Address - Phone:516-666-3826
Mailing Address - Fax:718-854-6116
Practice Address - Street 1:4624 NEW UTRECHT AVE STE A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2544
Practice Address - Country:US
Practice Address - Phone:516-666-3826
Practice Address - Fax:718-854-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-16
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy