Organization
HYATT PHARMACY INC
Active
Other names
Hyatt Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISSAM SALAMEH (RPH/ CEO)
(347) 808-7726
Entity
Organization
Contact information
Practice address
2321 30TH AVE, ASTORIA, NY 11102-4183
(347) 808-7726
(347) 808-7728
Mailing address
2321 30TH AVE, ASTORIA, NY 11102-4183
(347) 808-7726
(347) 808-7728
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030910
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03455438
—
NY
01
—
2131986
PK
—
Enumeration date
09/28/2011
Last updated
04/04/2022
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