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Organization

SAMANTHAS PHARMACY INC.

Active
Other names
Grace Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
YURY ISAKOV (PRESIDENT)
(718) 426-1073
Entity
Organization

Contact information

Practice address
9101 43RD AVE, ELMHURST, NY 11373-2740
(718) 426-1073
(718) 426-7910
Mailing address
9101 43RD AVE, ELMHURST, NY 11373-2740
(718) 426-1073

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
035796
NY

Other

Enumeration date
10/06/2017
Last updated
10/06/2017
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