Organization
ASTORIA ORGANIX PHARMACY INC
Active
Other names
Astoria Organix Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE SUYUNOV (OWNER/SUPERVISING PHARMACIST)
(718) 255-1338
Entity
Organization
Contact information
Practice address
3720 31ST AVE, ASTORIA, NY 11103-3822
(718) 255-1338
(718) 255-1283
Mailing address
37-20 31ST AVENUE, ASTORIA, NY 11103
(718) 255-1338
(718) 255-1283
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034589
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04535911
—
NY
01
—
2160299
PK
—
Enumeration date
05/24/2016
Last updated
03/18/2022
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