Organization
PHARMACY SPECS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDUARD BORUKHOV (PRESIDENT)
(718) 255-1047
Entity
Organization
Contact information
Practice address
4620 BROADWAY, ASTORIA, NY 11103-1628
(718) 255-1047
(718) 255-1046
Mailing address
4620 BROADWAY, ASTORIA, NY 11103-1628
(718) 255-1047
(718) 255-1046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039354
STATE BOARD OF PHARMACY
NY
Enumeration date
03/15/2022
Last updated
03/15/2022
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