Organization · Type 2 NPI

Revival Pharmacy LLC

Long Term Care Pharmacy · Brooklyn, NY

NPI number 1629347414 Active

Practice location

5369 Kings Hwy
Brooklyn, NY 11203-6704

Fax (718) 298-3333

Mailing address

5359B Kings Highway
Brooklyn, NY 11203

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000X28RO00134300 (NJ)
Community/Retail Pharmacy 3336C0003X030991 (NY)
Long Term Care Pharmacy 3336L0003XNP000806 (PA)
Long Term Care Pharmacy Primary 3336L0003X0003191 (CT)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1629347414

Revival Pharmacy LLC's National Provider Identifier is 1629347414, issued on Dec 22, 2011. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 28, 2017.