Organization
ETHAN DRUG CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUSHA ASKARI (OWNER)
(718) 631-9300
Entity
Organization
Contact information
Practice address
27268 GRAND CENTRAL PKWY, FLORAL PARK, NY 11005-1342
(718) 631-9300
Mailing address
27268 GRAND CENTRAL PKWY, FLORAL PARK, NY 11005-1342
(718) 631-9300
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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