NPI
108 Pharmacy Inc
NPI 1962163980
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2022-01-02
- Last updated
- 2023-04-04
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 4502 108th St
- City
- Corona NY
- Postal code
- 11368-2917
- Phone
- (718) 450-2108
Organization contact
- Name
- Roman Badalov
- Title
- Owner
- Phone
- (718) 847-1982
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Corona, NY. 860 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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