Organization
FREDERICK COMMUNITY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYCHESLAV YAGUDAYEV (PRESIDENT)
(212) 690-5202
Entity
Organization
Contact information
Practice address
2450 FREDERICK DOUGLAS BLVD, NEW YORK, NY 10027
(212) 690-5202
(212) 690-5204
Mailing address
2450 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10027-7701
(212) 690-5202
(212) 690-5204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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