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Organization
UNION SCRIPTS LLC
Active
Organization
UNION SCRIPTS LLC
Active
Other names
Ilana's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR SHAMALOV (MEMBER)
(718) 969-9500
Entity
Organization
Contact information
Practice address
180 30 UNION TURNPIKE, FRESH MEADOWS, NY 11366
(718) 969-9500
(718) 696-9510
Mailing address
180 30 UNION TURNPIKE, FRESH MEADOWS, NY 11366
(718) 969-9500
(718) 696-9510
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04546030
—
NY
01
—
2157986
PK
—
Enumeration date
02/15/2016
Last updated
04/18/2017
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