Provider Demographics
NPI:1194075226
Name:AKILOV, ARKADY (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ARKADY
Middle Name:
Last Name:AKILOV
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8312 HOMELAWN ST
Mailing Address - Street 2:FLOOR # 1
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-2150
Mailing Address - Country:US
Mailing Address - Phone:646-387-4924
Mailing Address - Fax:
Practice Address - Street 1:8312 HOMELAWN ST
Practice Address - Street 2:FLOOR # 1
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-2150
Practice Address - Country:US
Practice Address - Phone:646-387-4924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist