# STORY AVE PHARMACY INC

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

## Provider details

- **NPI number:** 1225602410
- **Authorized official:** MR. ALBERT MALAKOV (PRESIDENT)
- **Authorized official phone:** (718) 822-2923

## Contact information

- **Practice address:** 1903 STORY AVE, BRONX, NY 10473-2705
- **Practice address phone:** (718) 822-2923
- **Practice address fax:** (718) 822-2924
- **Mailing address:** 1903 STORY AVE, BRONX, NY 10473-2705
- **Mailing address phone:** (718) 822-2923
- **Mailing address fax:** (718) 822-2924

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2021
- **Last updated:** 05/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 038772 | PHARMACY REGISTRATION | NY |