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Organization
GREEN CHOICE PHARMACY INC
Active
Organization
GREEN CHOICE PHARMACY INC
Active
Other names
SIMON'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSURMON NORKULOV (PRESIDENT)
(929) 241-7070
Entity
Organization
Contact information
Practice address
10117 QUEENS BLVD, FOREST HILLS, NY 11375-2856
(718) 997-7333
(718) 997-7333
Mailing address
10117 QUEENS BLVD, FOREST HILLS, NY 11375-2856
(718) 997-7333
(718) 997-7333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04376821
—
NY
Enumeration date
05/18/2018
Last updated
05/18/2018
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