Organization
APOLLO PHARMACY 2.0 CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMUEL RAFAILOV (PRESIDENT)
(917) 477-3472
Entity
Organization
Contact information
Practice address
2255 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027-7807
(917) 477-3472
(917) 672-3494
Mailing address
2255 ADAM CLAYTON POWELL JR BLVD, NEW YORK, NY 10027-7807
(917) 477-3472
(917) 672-3494
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041861
STATEBOARD
NY
Enumeration date
05/15/2025
Last updated
09/26/2025
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