Individual
ARKADIY MALAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3911 104TH ST, CORONA, NY 11368-2313
(718) 478-3908
Mailing address
39-11 104TH STREET, CORONA, NY 11368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060184
NY
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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