Organization
AXIUM SPECIALTY RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS ISKHAKOV (OWNER)
(718) 393-5590
Entity
Organization
Contact information
Practice address
1412 MERMAID AVE, BROOKLYN, NY 11224-2752
(718) 393-5590
Mailing address
1412 MERMAID AVE, BROOKLYN, NY 11224-2752
(718) 393-5590
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
11/28/2023
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