Organization
BNMB CORP
Active
Other names
SUNNYSIDE DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIYA LIOUKHOVER (PRESIDENT)
(718) 482-0003
Entity
Organization
Contact information
Practice address
39 51 QUEENS BLVD, SUNNYSIDE, NY 11104
(718) 482-0003
(718) 482-1919
Mailing address
39 51 QUEENS BLVD, SUNNYSIDE, NY 11104
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027663
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730225
—
NY
01
—
3341372
OTHER ID NUMBER
—
Enumeration date
12/21/2006
Last updated
09/25/2007
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