Aiie Corp
Pharmacy, Community/Retail Pharmacy in Kew Gardens, NY. Organization (NPI-2).
NPI number1730695164
StatusActive
Last updated in NPPESOct 23, 2020
Details
- NPI
- 1730695164
- Entity type
- Organization (NPI-2)
- Legal business name
- Aiie Corp
- Organization subpart
- No
- Enumeration date
- Dec 21, 2017
- Certification date
- Oct 23, 2020
- Last updated
- Oct 23, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 035838 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | |
| 333600000X | Pharmacy | – | – |
Other names
- Primemed Pharmacy (Doing Business As)
Practice location
12084 Queens BlvdKew Gardens, NY 11415-1204
Phone 718-872-9772 · Fax 646-813-1803
Mailing address
120-84 Queens BlvdKew Gardens, NY 11415
Phone 718-872-9772 · Fax 646-813-1803
Authorized official
Vyacheslav Fattakhov
President
7188729772
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