Organization
GREEN LINE PHARMACY INC
Active
Other names
Kew Gardens Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL AMINOV (OWNER)
(718) 850-5220
Entity
Organization
Contact information
Practice address
8157 LEFFERTS BLVD, KEW GARDENS, NY 11415-1728
(718) 850-5220
(718) 850-5221
Mailing address
8157 LEFFERTS BLVD, KEW GARDENS, NY 11415-1728
(718) 850-5220
(718) 850-5221
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
10/22/2025
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