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Organization
VGA PHARMACY INC
Active
Organization
VGA PHARMACY INC
Active
Other names
INSTACARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR GAVRILOV (PRESIDENT)
(718) 749-5515
Entity
Organization
Contact information
Practice address
23520 147TH AVE, ROSEDALE, NY 11422-3226
(718) 749-5515
(718) 749-5513
Mailing address
23520 147TH AVE, ROSEDALE, NY 11422-3226
(718) 749-5515
(718) 749-5513
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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