# FREDERICK COMMUNITY PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205355658
- **Authorized official:** VYCHESLAV YAGUDAYEV (PRESIDENT)
- **Authorized official phone:** (212) 690-5202

## Contact information

- **Practice address:** 2450 FREDERICK DOUGLAS BLVD, NEW YORK, NY 10027
- **Practice address phone:** (212) 690-5202
- **Practice address fax:** (212) 690-5204
- **Mailing address:** 2450 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-7701
- **Mailing address phone:** (212) 690-5202
- **Mailing address fax:** (212) 690-5204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2017
- **Last updated:** 07/21/2022