Organization · NPI-2

All Source Plus Corp.

Pharmacy, Community/Retail Pharmacy · Rego Park, NY

NPI number1417512500

StatusActive

Last updated in NPPESMay 5, 2019

Details

NPI: 1417512500
Entity type: Organization (NPI-2)
Legal business name: All Source Plus Corp.
Organization subpart: No
Enumeration date: May 5, 2019
Last updated: May 5, 2019

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
3336C0003X	Pharmacy, Community/Retail Pharmacy	–	–	Yes
333600000X	Pharmacy	–	–

Other names

All-Source Pharmacy & Surgical (Doing Business As)

Practice location

9109 63rd Dr
Rego Park, NY 11374-3849

Phone 718-255-6100

Mailing address

9109 63rd Dr
Rego Park, NY 11374-3849

Phone 718-255-6100

Authorized official

Irina Niyazov
Rph
7182556100

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