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Organization
VIDA MAS PHARMACIA INC
Active
Organization
VIDA MAS PHARMACIA INC
Active
Other names
VIDA MAS FARMACIA HUNTINGTON STATION
Organization subpart
No
Provider details
NPI number
Authorized official
ROSHEL SIONOV (OWNER)
(631) 683-5555
Entity
Organization
Contact information
Practice address
1783 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2470
(631) 683-5555
(631) 683-4163
Mailing address
1783 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2470
(631) 683-5555
(631) 683-4163
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
06/14/2024
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