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NPI 1962163980

OrganizationActive

108 Pharmacy Inc

NPI 1962163980 · Community/Retail Pharmacy · Corona, NY

Provider details

NPI number: 1962163980
Entity type: Organization
Primary specialty: Community/Retail PharmacySuppliers
Authorized official: Roman Badalov, Owner

Practice location

4502 108th St

Corona, NY 11368-2917

Phone: (718) 450-2108

Fax: (718) 450-2108

More NY providers

Mailing address

4502 108th St

Corona, NY 11368-2917

Registry dates

Enumerated: 2022-01-02
Last updated: 2023-04-04

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

108 Pharmacy Inc — NPI 1962163980, Corona, NY | NPI Central