Organization
LITTLE NECK RX CORP
Active
Other names
PHARMACONIC
Organization subpart
No
Provider details
NPI number
Authorized official
STANISLAV ZAVULUNOV RPH (PRESIDENT)
(718) 819-8511
Entity
Organization
Contact information
Practice address
25437 HORACE HARDING EXPY, LITTLE NECK, NY 11362-1816
(718) 819-8511
(718) 819-8568
Mailing address
25437 HORACE HARDING EXPY, LITTLE NECK, NY 11362-1816
(718) 819-8511
(718) 819-8568
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
09/08/2021
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