1105 Jtp LLC
1105 Jtp LLC is a Community/Retail Pharmacy in New Hyde Park, New York. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1105 Jericho TpkeNew Hyde Park, NY 11040-4603
Phone: (516) 775-7775
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1982243788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ishbay Shukurov — Owner · (516) 775-7775 |
| Other names | Genome Pharmacy |
| NPI enumerated | December 27, 2019 |
| Last updated in NPPES | December 27, 2019 |
| Certification date | December 27, 2019 |
| Mailing address | 1105 Jericho Tpke, New Hyde Park, NY 11040-4603 |
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