Ararat Pharmacy LTD

Organization Active NPI Community/Retail Pharmacy · Sunnyside, NY

NPI 1366549206 · NPPES record last updated Jul 20, 2007

Key facts

NPI
1366549206
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
019077 (NY)
Legal business name
ARARAT PHARMACY LTD
Practice address
4315 Queens Blvd
Sunnyside, NY 11104-4609
Phone
(718) 706-1779
Fax
(718) 937-5411
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

Name
Setrak Balmanocckian, RPH
Title
President
Phone
(718) 706-1779

National Provider Directory

Locations

4315 Queens Blvd
Sunnyside, NY 11104
Phone (718) 706-1779

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 019077 NY Yes

Addresses

Primary practice location

4315 Queens Blvd
Sunnyside, NY 11104-4609

Mailing address

4315 Queens Blvd
Sunnyside, NY 11104-4609

Other identifiers

IdentifierTypeStateIssuer
3387304OtherOTHER ID NUMBER-COMMERCIAL NUMBER
00953815MedicaidNY
3387304OtherOTHER ID NUMBER

Other providers in Sunnyside, NY

All providers in Sunnyside, NY · Community/Retail Pharmacy in New York

Sources for this page

Verify at the official NPI Registry.