Organization
ARARAT PHARMACY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETRAK BALMANOCCKIAN RPH (PRESIDENT)
(718) 706-1779
Entity
Organization
Contact information
Practice address
4315 QUEENS BLVD, SUNNYSIDE, NY 11104-4609
(718) 706-1779
(718) 937-5411
Mailing address
4315 QUEENS BLVD, SUNNYSIDE, NY 11104-4609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019077
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00953815
—
NY
01
—
3387304
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/20/2006
Last updated
07/20/2007
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