Organization
MGL PHARMACY INC
Active
Other names
Park City Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
FARRUKH RAKHMATULLAEV (SUPERVISING PHARMACIST)
(718) 459-0911
Entity
Organization
Contact information
Practice address
6320 99TH ST, REGO PARK, NY 11374-1941
(718) 459-0911
(718) 459-0912
Mailing address
6320 99TH ST, REGO PARK, NY 11374-1941
(718) 459-0911
(718) 459-0912
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
034786
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164161
PK
—
Enumeration date
05/26/2006
Last updated
02/16/2024
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