New Stage Pharmacy INC

NPI #1912184193 in Hollis, New York

Provider Information

NPI Number: 1912184193
Entity Type: Organization
Organization Name: New Stage Pharmacy INC
Primary Specialty: Pharmacist
Enumeration Date: Jan 30, 2008
Last Updated: Jan 30, 2008

Practice Location

Address: 20419 HILLSIDE AVE
City: Hollis
State: New York
ZIP Code: 11423-2213
Phone: (516) 658-6854

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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