Organization
METRO 2014 PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LADA MATATOVA (PRESIDENT)
(718) 523-5800
Entity
Organization
Contact information
Practice address
172-17 JAMAICA AVE, JAMAICA, NY 11432
(718) 523-5800
(718) 297-4653
Mailing address
172-17 JAMAICA AVE, JAMAICA, NY 11432
(718) 523-5800
(718) 297-4653
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033375
NY
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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