Organization
PYAK FAMILY LLC
Active
Other names
Your Choice Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV PYAK (PRESIDENT)
(718) 606-8965
Entity
Organization
Contact information
Practice address
63106 WOODHAVEN BLVD, REGO PARK, NY 11374-4841
(718) 606-8965
(718) 606-8948
Mailing address
63106 WOODHAVEN BLVD, REGO PARK, NY 11374-4841
(718) 606-8965
(718) 606-8948
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
032412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03885343
—
NY
01
—
2143736
PK
—
Enumeration date
12/09/2013
Last updated
01/26/2021
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