Organization
QUALITY LIFE PHARMACY CORP
Active
Other names
J & D pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YAKOV KATANOV (PRESIDENT)
(718) 544-7182
Entity
Organization
Contact information
Practice address
7168 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4115
(718) 544-7182
(718) 544-7199
Mailing address
7168 YELLOWSTONE BLVD, FOREST HILLS, NY 11375-4115
(718) 544-7182
(718) 544-7199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
033885
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04242926
—
NY
01
—
2154709
PK
—
Enumeration date
07/27/2015
Last updated
02/07/2023
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