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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REVIVAL PHARMACY LLC

Active Organization

REVIVAL PHARMACY LLC is a Retail Pharmacy organization located in BROOKLYN, New York. NPI 1629347414 is currently active in the NPPES registry. Verify at CMS.

Retail Pharmacy · BROOKLYN, NY

Registration Details

NPI Number
1629347414
Provider Type
Organization
NPI Issued
Dec 22, 2011 (14.653975116994 yrs)
Last Updated
Mar 28, 2017
Licenses
28RO00134300 (NJ)
030991 (NY)
NP000806 (PA)
0003191 (CT)

Practice Information

Address
5369 KINGS HWY
BROOKLYN, NY, 112036704
Browse NY providers · Browse ZIP 11203
Phone
7182982222
Fax
7182983333
Primary Specialty
Retail Pharmacy
3336L0003X
Additional Specialty
Long-Term Care Pharmacy
Additional Specialty
Retail Pharmacy
Additional Specialty
Retail Pharmacy
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.