Organization
LIFE SCRIPT PHARMACY INC
Active
Other names
LIFE SCRIPT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY ILYAICH (PRESIDENT)
(718) 366-6900
Entity
Organization
Contact information
Practice address
5456A MYRTLE AVE, RIDGEWOOD, NY 11385-3453
(718) 366-6900
(718) 366-6901
Mailing address
5456A MYRTLE AVE, RIDGEWOOD, NY 11385-3453
(718) 366-6900
(718) 366-6901
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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