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Organization
SKYPAN PHARMACIES INC
Active
Organization
SKYPAN PHARMACIES INC
Active
Other names
St albans Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NATACHA AUGUSTIN RPH (SUPERVISIN PHARMACIST)
(718) 657-7272
Entity
Organization
Contact information
Practice address
11112 MERRICK BLVD, JAMAICA, NY 11433-4016
(718) 657-7272
Mailing address
11112 MERRICK BLVD, JAMAICA, NY 11433-4016
(718) 657-7272
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
023852
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01905971
—
NY
Enumeration date
02/14/2007
Last updated
08/22/2020
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