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
Suppliers
Practice location
9924 65th Rd
Rego Park, NY 11374-3655
Phone: (646) 785-5074
Approximate (ZIP-level) locationGet directions
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.