Organization
ADINAS PHARMACY INC
Active
Other names
Adina's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS ISAKOV (DIRECTOR)
(718) 739-9700
Entity
Organization
Contact information
Practice address
13819 QUEENS BLVD, BRIARWOOD, NY 11435-2641
(718) 739-9700
(718) 739-9777
Mailing address
13819 QUEENS BLVD, BRIARWOOD, NY 11435-2641
(718) 739-9700
(718) 739-9777
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030437
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5801394
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/04/2010
Last updated
01/11/2011
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