Organization
PRIME DRUGS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUIRY DAVYDOV (PRESIDENT)
(718) 749-5021
Entity
Organization
Contact information
Practice address
22417A UNION TPKE, OAKLAND GARDENS, NY 11364-3631
(718) 749-5021
Mailing address
22417A UNION TPKE, OAKLAND GARDENS, NY 11364-3631
(718) 749-5021
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
031407
NY
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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