Organization
IEFA LLC
Active
Other names
DRUG WORX
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR FATTAKHOV (PRESIDENT)
(212) 795-7455
Entity
Organization
Contact information
Practice address
4197 BROADWAY, NEW YORK, NY 10033-3735
(212) 795-7455
(212) 795-7456
Mailing address
4197 BROADWAY, NEW YORK, NY 10033-3735
(212) 795-7455
(212) 795-7456
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
12/17/2013
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