All-Source Corp

NPI #1013272095 in Rego Park, New York

Provider Information

NPI Number: 1013272095
Entity Type: Organization
Organization Name: All-Source Corp
Primary Specialty: Pharmacy - Community/Retail Pharmacy
Enumeration Date: Jul 6, 2012
Last Updated: Sep 19, 2025

Practice Location

Address: 9109 63RD DR
City: Rego Park
State: New York
ZIP Code: 11374-3849
Phone: (718) 255-6100

Authorized Official

Name: PETER NYAZOV
Title: PRESIDENT
Phone: (718) 255-6100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Mail Order Pharmacy — Mail Order Pharmacy	3336M0002X
Pharmacy - Managed Care Organization Pharmacy — Managed Care Organization Pharmacy	3336M0003X
Pharmacy - Specialty Pharmacy — Specialty Pharmacy	3336S0011X
Pharmacy	333600000X
Military/U.S. Coast Guard Pharmacy	332000000X
Department of Veterans Affairs (VA) Pharmacy	332100000X
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X	Primary

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