Organization
FIVE STAR RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY DAVIDOV (OWNER)
(718) 480-3146
Entity
Organization
Contact information
Practice address
11214 QUEENS BLVD, FOREST HILLS, NY 11375-6344
(718) 480-3146
(718) 480-3324
Mailing address
11214 QUEENS BLVD, FOREST HILLS, NY 11375-6344
(718) 480-3146
(718) 480-3324
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
05/13/2024
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