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Organization
QUALITY LIFE PHARMACY CORP
Active
Organization
QUALITY LIFE PHARMACY CORP
Active
Other names
J & D PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV KATANOV (PRESIDENT)
(718) 544-7182
Entity
Organization
Contact information
Practice address
7168 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4115
(718) 544-7182
(718) 544-7199
Mailing address
7168 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4115
(718) 544-7182
(718) 544-7199
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04242926
—
NY
Enumeration date
02/07/2023
Last updated
02/07/2023
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