Organization
LABAINC D/B/A ALY MARC PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NADER SIMANI PH (OWNER/PHARMACIST)
(718) 291-1845
Entity
Organization
Contact information
Practice address
17941 HILLSIDE AVE, JAMAICA, NY 11432-4631
(718) 291-1845
(718) 291-5606
Mailing address
17941 HILLSIDE AVE, JAMAICA, NY 11432-4631
(718) 291-1845
(718) 291-5606
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01513446
—
NY
Enumeration date
06/02/2006
Last updated
10/23/2018
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