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Organization
PHARMAPACKS LLC
Active
Organization
PHARMAPACKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW VAGENAS (PRESIDENT)
(718) 767-7730
Entity
Organization
Contact information
Practice address
653 152ND ST, WHITESTONE, NY 11357-1200
(718) 767-7730
(718) 767-7735
Mailing address
653 152ND ST, WHITESTONE, NY 11357-1200
(718) 767-7730
(718) 767-7735
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030641
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030641
NY STATE PHARMACY LICENSE
NY
Enumeration date
05/25/2011
Last updated
05/25/2011
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