Provider Demographics
NPI:1790911212
Name:ARABOV, EDUARD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDUARD
Middle Name:
Last Name:ARABOV
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:EDUARD
Other - Middle Name:
Other - Last Name:ARABOV
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:11665 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-6533
Mailing Address - Country:US
Mailing Address - Phone:718-261-6699
Mailing Address - Fax:718-261-6689
Practice Address - Street 1:11665 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-6533
Practice Address - Country:US
Practice Address - Phone:718-261-6699
Practice Address - Fax:718-261-6689
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049113183500000X
PARP437708183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist