Organization
ARIAHEALTH
Active
Other names
AriaHealth at ValueDrugs
Organization subpart
No
Provider details
NPI number
Authorized official
ILYEVU KALONTAROV PHARMD (OWNER/SUPERVISING PHARMACIST)
(718) 791-0227
Entity
Organization
Contact information
Practice address
270 W MAIN ST, SAYVILLE, NY 11782-2554
(718) 791-0227
Mailing address
270 W MAIN ST, SAYVILLE, NY 11782-2554
(718) 791-0227
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
053042
NY
3336S0011X
Specialty Pharmacy
053042
NY
Other
Enumeration date
06/11/2015
Last updated
07/08/2016
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