# GREEN LINE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kew Gardens Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417716564
- **Authorized official:** MIKHAIL AMINOV (OWNER)
- **Authorized official phone:** (718) 850-5220

## Contact information

- **Practice address:** 8157 LEFFERTS BLVD, KEW GARDENS, NY 11415-1728
- **Practice address phone:** (718) 850-5220
- **Practice address fax:** (718) 850-5221
- **Mailing address:** 8157 LEFFERTS BLVD, KEW GARDENS, NY 11415-1728
- **Mailing address phone:** (718) 850-5220
- **Mailing address fax:** (718) 850-5221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 10/22/2025