# YASIK 2 INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AVONORA PHARMACY, RIDGEWOOD PHARMACY EXPRESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437692134
- **Authorized official:** YANA ARONOV (PRESIDENT)
- **Authorized official phone:** (718) 366-6900

## Contact information

- **Practice address:** 5456 MYRTLE AVE, RIDGEWOOD, NY 11385-3453
- **Practice address phone:** (718) 366-6900
- **Practice address fax:** (718) 366-6901
- **Mailing address:** 5456 MYRTLE AVE, RIDGEWOOD, NY 11385-3453
- **Mailing address phone:** (718) 366-6900
- **Mailing address fax:** (718) 366-6901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 06/02/2017
