Organization
GREEN CHOICE PHARMACY INC
Active
Other names
SIMON'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSURMON NORKULOV (PRESIDENT)
(929) 241-7070
Entity
Organization
Contact information
Practice address
10117 QUEENS BLVD, FOREST HILLS, NY 11375-2856
(718) 997-7333
(718) 997-7333
Mailing address
10117 QUEENS BLVD, FOREST HILLS, NY 11375-2856
(718) 997-7333
(718) 997-7333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04376821
—
NY
Enumeration date
05/18/2018
Last updated
05/18/2018
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