Organization · NPI-2
Alderton Pharmacy LLC
Pharmacy, Community/Retail Pharmacy · Rego Park, NY
NPI number1730463340
StatusActive
Last updated in NPPESSep 18, 2012
Details
- NPI
- 1730463340
- Entity type
- Organization (NPI-2)
- Legal business name
- Alderton Pharmacy LLC
- Organization subpart
- No
- Enumeration date
- Sep 30, 2011
- Last updated
- Sep 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 030923 | NY | Yes |
| 333600000X | Pharmacy | – | – |
Other names
- Alderton Pharmacy (Doing Business As)
Practice location
9110 63rd DrRego Park, NY 11374-3850
Phone 718-896-8500 · Fax 718-896-8508
Mailing address
9833 64th AveRego Park, NY 11374-2544
Phone 718-896-8500 · Fax 718-896-8508
Authorized official
Oleg Shliperman
Member
6467345835
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