Organization
OMEGA PHARMACY INC
Active
Other names
OMEGA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA FUZAYLOVA (OWNER)
(212) 234-4666
Entity
Organization
Contact information
Practice address
1439 AMSTERDAM AVE, NEW YORK, NY 10027-7436
(212) 234-4666
(212) 234-8809
Mailing address
1439 AMSTERDAM AVE, NEW YORK, NY 10027-7436
(212) 234-4666
(212) 234-8809
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02867527
—
NY
01
—
2126206
PK
—
Enumeration date
03/21/2007
Last updated
04/12/2016
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