Organization
GREENE PHARMACY 1 INC
Active
Other names
GREENE PHARMACY 1 INC
Organization subpart
No
Provider details
NPI number
Authorized official
NERIYE KAYKOV (PRESIDENT)
(718) 433-9530
Entity
Organization
Contact information
Practice address
6545 99TH ST, REGO PARK, NY 11374-4347
(718) 433-9530
(718) 433-9479
Mailing address
6545 99TH STREET, REGO PARK, NY 11374
(718) 433-9530
(718) 433-9479
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2173407
PK
—
05
—
PENDING
—
NY
Enumeration date
09/28/2017
Last updated
01/24/2018
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