Organization
COMMUNITY WELLNESS PHARMACY INC
Active
Other names
ALL FOR YOU PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAKMIN ILYABAYEV (PRESIDENT)
(718) 380-2700
Entity
Organization
Contact information
Practice address
15615 AGUILAR AVE, FLUSHING, NY 11367-2727
(718) 380-2700
(718) 380-2701
Mailing address
15615 AGUILAR AVE, FLUSHING, NY 11367-2727
(718) 380-2700
(718) 380-2701
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
034044
NY
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168037
PK
—
Enumeration date
03/07/2017
Last updated
03/07/2017
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