Organization
IDENTID CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN HALCHUK RPH (SUPERVISING PHARMACIST)
(347) 397-8180
Entity
Organization
Contact information
Practice address
2202 46TH STREET, SUITE 1028, ASTORIA, NY 11105
(888) 383-8839
Mailing address
4502 DITMARS BLVD STE 1028, ASTORIA, NY 11105-1319
(888) 383-8839
(888) 383-8112
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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