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Organization
YG PHARMACY CORP
Active
Organization
YG PHARMACY CORP
Active
Other names
Gemini Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YEVA GADAYEVA (PRESIDENT)
(718) 803-3888
Entity
Organization
Contact information
Practice address
8612 37TH AVE, JACKSON HEIGHTS, NY 11372-7533
(718) 803-3888
(718) 803-3887
Mailing address
86-12BB 37TH AVE, JACKSON HEIGHTS, NY 11372
(718) 803-3888
(718) 803-3887
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5803691
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/15/2011
Last updated
11/15/2011
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