Organization
ORGANIC WOODHAVEN PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKHODUR TADJIEV (PRESIDENT)
(347) 354-2939
Entity
Organization
Contact information
Practice address
63106 WOODHAVEN BLVD, REGO PARK, NY 11374-4841
(347) 354-2969
(718) 255-1488
Mailing address
63106 WOODHAVEN BLVD, REGO PARK, NY 11374-4841
(347) 354-2939
(718) 255-1488
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
02/19/2025
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