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Organization
YAR TRADING CORP
Active
Organization
YAR TRADING CORP
Active
Other names
Pewex Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL STANISZEWSKI (SUPERVISING PHARMAIST)
(718) 456-6667
Entity
Organization
Contact information
Practice address
6619 FRESH POND RD, RIDGEWOOD, NY 11385-3310
(718) 456-6667
(718) 456-6668
Mailing address
66-19 FRESH POND RD, RIDGEWOOD, NY 11385-3310
(718) 456-6667
(718) 456-6668
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04866395
—
NY
05
—
04949482
—
NY
01
—
2171937
PK
—
Enumeration date
09/15/2017
Last updated
10/15/2020
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