Pyak Family LLC
Pharmacy, Community/Retail Pharmacy in Rego Park, NY. Organization (NPI-2).
NPI number1457782013
StatusActive
Last updated in NPPESJan 26, 2021
Details
- NPI
- 1457782013
- Entity type
- Organization (NPI-2)
- Legal business name
- Pyak Family LLC
- Organization subpart
- No
- Enumeration date
- Dec 9, 2013
- Certification date
- Jan 26, 2021
- Last updated
- Jan 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 032412 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Your Choice Pharmacy (Doing Business As)
Practice location
63106 Woodhaven BlvdRego Park, NY 11374-4841
Phone 718-606-8965 · Fax 718-606-8948
Mailing address
63106 Woodhaven BlvdRego Park, NY 11374-4841
Phone 718-606-8965 · Fax 718-606-8948
Authorized official
Vyacheslav Pyak
President
7186068965
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