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108 Pharmacy Inc — NPI 1407626070, Corona, NY | NPI Central

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OrganizationActive

108 Pharmacy Inc

NPI 1407626070 · Long Term Care Pharmacy · Corona, NY

Provider details

NPI number: 1407626070
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Roman Badalov, Owner

Practice location

4502 108th St

Corona, NY 11368-2917

Phone: (718) 847-1982

Fax: (718) 228-4985

More NY providers

Mailing address

4502 108th St

Corona, NY 11368-2917

Registry dates

Enumerated: 2024-01-04
Last updated: 2024-01-04

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