HEALTHSOURCE PHARMACY III INC
Pharmacy at 57 St, New York, NY

License number
New York 027524
Category
Suppliers
Type
Pharmacy
Owner
Name: BORIS NIYAZOV R.PH, MBA
Title: PRESIDENT
Phone: (212) 794-8700
Address
Address
235 E 57Th St, New York, NY 10022
National Provider ID: 1023023637
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HEALTHSOURCE PHARMACY III, INC

235 E 57 St, New York, NY 10022

Status:
Inactive
Industry:
Ret Drugs/Sundries
Inactive reason:
Dissolution
Registration:
Jul 27, 2005
Inactive since:
May 29, 2012
Phone:
(212) 310-0111 (Phone)
State ID:
3236011
Business type:
DOMESTIC BUSINESS CORPORATION
Chairman, President, Chief Executive Officer, Manager, Director Of Pharmacy:
Boris Niyazov Chairman, President, Chief Executive Officer, Manager, Director Of Pharmacy, inactive, 235 E 57 St, New York, NY 10022 (Physical)

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