Organization
BIG APPLE PHARMACY CORP
Active
Other names
big apple pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS ASHIROV (OWNER)
(718) 779-4450
Entity
Organization
Contact information
Practice address
3771 103RD ST, CORONA, NY 11368-3191
(718) 779-4450
(718) 779-4453
Mailing address
3771 103RD ST, CORONA, NY 11368-3191
(718) 779-4450
(718) 779-4453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030372
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3295356
—
NY
01
—
5801508
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/07/2010
Last updated
04/04/2012
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