Provider Demographics
NPI:1134678998
Name:WYCKOFF & BLEECKER DRUGS INC
Entity Type:Organization
Organization Name:WYCKOFF & BLEECKER DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FARAH
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAZVI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-399-9734
Mailing Address - Street 1:235 WYCKOFF AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-5303
Mailing Address - Country:US
Mailing Address - Phone:718-366-3300
Mailing Address - Fax:718-366-3302
Practice Address - Street 1:235 WYCKOFF AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-5303
Practice Address - Country:US
Practice Address - Phone:718-366-3300
Practice Address - Fax:718-366-3302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy