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1669894614
ALEKSANDR KHAITOV
CORONA, NY
NPI
1669894614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: NY 058812)
Enumeration Date
2014-01-10
Last Update Date
2019-08-28
Business Address
ALEKSANDR KHAITOV
10005 ROOSEVELT AVE
CORONA, NY 11368
Phone number: 718-898-1100
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Mailing Address
ALEKSANDR KHAITOV
393 FRONT ST
HEMPSTEAD, NY 11550-4026
Phone number: 516-489-2211
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