Organization
STORY AVE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT MALAKOV (PRESIDENT)
(718) 822-2923
Entity
Organization
Contact information
Practice address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2923
(718) 822-2924
Mailing address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2923
(718) 822-2924
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038772
PHARMACY REGISTRATION
NY
Enumeration date
05/13/2021
Last updated
05/13/2021
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