Organization
HYATTRX PHARMACY INC.
Active
Other names
URBAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NOUR OSAMA ABOUGUENDIA (PRESIDENT)
(929) 556-3055
Entity
Organization
Contact information
Practice address
4009 21ST ST, LONG ISLAND CITY, NY 11101-6130
(929) 556-3055
(929) 556-3057
Mailing address
4009 21ST ST, LONG ISLAND CITY, NY 11101-6130
(929) 556-3055
(929) 556-3057
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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