New Stage Pharmacy INC

NPI #1407025638 in Hollis, New York

Provider Information

NPI Number: 1407025638
Entity Type: Organization
Organization Name: New Stage Pharmacy INC
Primary Specialty: Pharmacy
Enumeration Date: Feb 21, 2008
Last Updated: Feb 21, 2008

Practice Location

Address: 204-19 HILLSIDE AVENUE
City: Hollis
State: New York
ZIP Code: 11423
Phone: (718) 465-2121

Authorized Official

Name: MR. KHOSROW G MOGHADDAM
Title: PRESIDENT
Phone: (718) 465-2121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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