Petr Fakhlayev Valid NPI

Individual provider · Pharmacist · Woodhaven, NY

NPI

1669650784

Type

Individual (Type 1)

Primary specialty

Pharmacist

Specialty group

Pharmacy Service Providers

Taxonomy code

183500000X

License number

044767 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-01-31

Last updated

2013-11-20