Organization
ALL SOURCE PLUS CORP.
Active
Other names
All-Source Pharmacy & Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA NIYAZOV (RPH)
(718) 255-6100
Entity
Organization
Contact information
Practice address
9109 63RD DR, REGO PARK, NY 11374-3849
(718) 255-6100
Mailing address
9109 63RD DR, REGO PARK, NY 11374-3849
(718) 255-6100
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/05/2019
Last updated
05/05/2019
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