Organization
LUBA PHARMACY INC.
Active
Other names
Slava's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VYACHESLAV ISAKOV R.PH. (PRESIDENT)
(347) 554-3629
Entity
Organization
Contact information
Practice address
9914 63RD RD, REGO PARK, NY 11374-1940
(347) 554-3629
Mailing address
9914 63RD RD, REGO PARK, NY 11374-1940
(347) 554-3629
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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