Organization
U PASS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY R YAKUBOV (OWNER)
(917) 945-1135
Entity
Organization
Contact information
Practice address
2769 CONEY ISLAND AVE, 1ST FLOOR, BROOKLYN, NY 11235-5051
(718) 676-1560
Mailing address
2769 CONEY ISLAND AVE, 1ST FLOOR, BROOKLYN, NY 11235-5051
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03262911
—
NY
Enumeration date
07/08/2010
Last updated
02/01/2011
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