Organization
INSTACARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS ILYAYEV (PRESIDENT)
(718) 749-5515
Entity
Organization
Contact information
Practice address
23520 147TH AVE, ROSEDALE, NY 11422-3226
(718) 749-5515
(718) 749-5512
Mailing address
23520 147TH AVE, ROSEDALE, NY 11422-3226
(718) 749-5515
(718) 749-5512
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
033991
NY
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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