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99-24 65rd — NPI 1225310923, Rego Park, NY | NPI Central

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NPI 1225310923

OrganizationActive

99-24 65rd

NPI 1225310923 · Pharmacy · Rego Park, NY

Provider details

NPI number: 1225310923
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Mazol Fatakhova, Pharmacist64678550774
License: 20056294 (NY)

Specialties & taxonomies

PharmacyPrimary333600000XLicense 20056294 (NY)
Suppliers

Practice location

9924 65th Rd

Rego Park, NY 11374-3655

Phone: (646) 785-5074

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

9924 65th Rd

Rego Park, NY 11374-3655

Other names (DBA / former)

Other name: Mazol Fatakhova

Registry dates

Enumerated: 2011-09-19
Last updated: 2011-09-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.