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1033543905
IGOR FATAKHOV
REGO PARK, NY
NPI
1033543905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 058401)
Enumeration Date
2013-08-28
Last Update Date
2013-08-28
Business Address
Mr. IGOR FATAKHOV Pharm D.
9924 65TH RD
REGO PARK, NY 11374-3655
Phone number: 917-815-8345
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Mailing Address
Mr. IGOR FATAKHOV Pharm D.
9924 65TH RD
REGO PARK, NY 11374-3655
Phone number: 917-815-8345
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