Organization
AUSTIN PHARMACY INC
Active
Other names
AUSTIN PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
NINA SHAMAYEVA (OWNER)
(718) 459-0090
Entity
Organization
Contact information
Practice address
67 01 AUSTIN ST, FOREST HILLS, NY 11375
(718) 459-0090
(718) 459-8090
Mailing address
67 01 AUSTIN ST, FOREST HILLS, NY 11375
(718) 459-0090
(718) 459-8090
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027082
NY
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02644379
—
NY
01
—
2063409
PK
—
Enumeration date
09/08/2006
Last updated
09/25/2013
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