Organization
OPTI HEALTH, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRIGORIY YUABOV PHARM.D. (PRESIDENT)
(718) 777-8111
Entity
Organization
Contact information
Practice address
9614 63RD DR STE 100, REGO PARK, NY 11374-2255
(718) 777-8111
(718) 228-3591
Mailing address
9614 63RD DR STE 100, REGO PARK, NY 11374-2255
(718) 777-8111
(718) 228-3591
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035989
NY
3336C0004X
Compounding Pharmacy
035989
NY
3336S0011X
Specialty Pharmacy
035989
NY
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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