# QUALITY LIFE PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** J & D PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235835547
- **Authorized official:** YAKOV KATANOV (PRESIDENT)
- **Authorized official phone:** (718) 544-7182

## Contact information

- **Practice address:** 7168 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4115
- **Practice address phone:** (718) 544-7182
- **Practice address fax:** (718) 544-7199
- **Mailing address:** 7168 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4115
- **Mailing address phone:** (718) 544-7182
- **Mailing address fax:** (718) 544-7199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336H0001X | Home Infusion Therapy Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 02/07/2023
- **Last updated:** 02/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 04242926 | — | NY |
