Organization
DJ DRUG CORP.
Active
Other names
FOREST HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SAIDOV (VP)
(718) 275-6555
Entity
Organization
Contact information
Practice address
6365 108TH ST, FOREST HILLS, NY 11375-1604
(718) 275-6555
(718) 228-8815
Mailing address
6365 108TH STREET, FOREST HILLS, NY 11375-1604
(718) 275-6555
(718) 228-8815
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025159
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02182378
—
NY
01
—
2066958
PK
—
Enumeration date
06/11/2006
Last updated
10/08/2021
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