Organization
SKYLINE PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANA NISANOV PHARM.D (PRESIDENT)
(212) 996-5929
Entity
Organization
Contact information
Practice address
2123 2ND AVE, 1ST FLOOR, NEW YORK, NY 10029-3232
(212) 996-5929
Mailing address
2123 2ND AVE, 1ST FLOOR, NEW YORK, NY 10029-3232
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
052402
NY
Other
Enumeration date
04/16/2012
Last updated
03/11/2013
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