Organization · NPI-2

Green Line Pharmacy INC

Pharmacy, Community/Retail Pharmacy · Kew Gardens, NY

NPI number1851009211
StatusActive
Last updated in NPPESOct 22, 2025

Details

NPI
1851009211
Entity type
Organization (NPI-2)
Legal business name
Green Line Pharmacy INC
Organization subpart
No
Enumeration date
Nov 14, 2022
Certification date
Oct 22, 2025
Last updated
Oct 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Kew Gardens Pharmacy (Doing Business As)

Practice location

8157 Lefferts Blvd
Kew Gardens, NY 11415-1728

Phone 718-850-5220

Mailing address

8157 Lefferts Blvd
Kew Gardens, NY 11415-1728

Phone 718-850-5220

Authorized official

Mikhail Aminov
Owner
7188505220

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