Organization
GHC PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR YAKUBOV RPH (PRESIDENT)
(718) 997-8700
Entity
Organization
Contact information
Practice address
23428 MERRICK BLVD, ROSEDALE, NY 11422-1320
(718) 997-8700
Mailing address
23428 MERRICK BLVD, ROSEDALE, NY 11422-1320
(718) 997-8700
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17029945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03224393
—
NY
Enumeration date
02/14/2010
Last updated
02/03/2011
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