Organization
OAKLAND GARDENS PHARMACY CORP
Active
Other names
Prime Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY MOSHEYEV (PRESIDENT)
(718) 749-5021
Entity
Organization
Contact information
Practice address
22417A UNION TPKE, OAKLAND GARDENS, NY 11364-3631
(718) 749-5021
(718) 749-5024
Mailing address
22417A UNION TPKE, OAKLAND GARDENS, NY 11364-3631
(718) 749-5021
(718) 749-5024
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2158241
PK
—
Enumeration date
01/08/2016
Last updated
03/08/2016
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