Organization
ARCOLA PHARMACY CORP
Active
Other names
ARCOLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER FAKHLAYEV (PRESIDENT)
(718) 275-5838
Entity
Organization
Contact information
Practice address
6545 99TH ST, REGO PARK, NY 11374-4347
(718) 275-5838
(718) 275-5868
Mailing address
6545 99TH ST, REGO PARK, NY 11374-4347
(718) 275-5838
(718) 275-5868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
023253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01742103
—
NY
01
—
3320621
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2006
Last updated
07/25/2012
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