Organization
QUEENS MIDNIGHT PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX KOCHANOFF (PHARMACIST)
(718) 533-0991
Entity
Organization
Contact information
Practice address
10426 ROOSEVELT AVE, CORONA, NY 11368-2328
(718) 533-0991
(718) 205-8340
Mailing address
10426 ROOSEVELT AVE, CORONA, NY 11368-2328
(718) 533-0991
(718) 205-8340
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023598
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167932
PK
—
Enumeration date
01/16/2017
Last updated
02/27/2017
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