Organization
YOUR CHOICE PHARMACY INC
Active
Other names
first choice pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK SHAYMARDANOV (PRESIDENT)
(718) 710-0699
Entity
Organization
Contact information
Practice address
245 E 124TH ST, NEW YORK, NY 10035-2093
(212) 348-6700
(212) 348-6703
Mailing address
245 E 124TH ST, NEW YORK, NY 10035-2093
(212) 348-6700
(212) 348-6703
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034629
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159431
PK
—
Enumeration date
04/18/2016
Last updated
08/19/2016
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