Organization
ONE SOURCE PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIM KHATIB (OWNER)
(718) 721-5900
Entity
Organization
Contact information
Practice address
2590 STEINWAY ST, ASTORIA, NY 11103-3768
(718) 721-5900
Mailing address
2590 STEINWAY ST, ASTORIA, NY 11103-3768
(718) 721-5900
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035660
NY
Other
Enumeration date
11/25/2017
Last updated
07/15/2024
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