HealthSource Pharmacy Inc
Name
HealthSource Pharmacy Inc
Director
Linda Niyazov, P.A.
Expiration Date
Phone Number
(212) 794-8700
UID (Facility ID - Site ID)
Z030-0000
Site ID
0000
City
New York
CLIA Number
33D2186737
Street Address
1296 Second Avenue
State
NY
Zip Code
10065
County
New York
Country
United States
Fax Number
(212) 794-4979
Primary Contact
Boris Niyazov
Contact Phone Number
(212) 794-8700
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Community Screening
COVID-19 MOLECULAR
Facility ID
Z030