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Organization

OTC GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AELLA SHABUNEUSKAYA (PRODUCT MANAGER)
(516) 448-9089
Entity
Organization

Contact information

Practice address
2792 OCEAN AVE UNIT 5, BROOKLYN, NY 11229-4730
(516) 448-9089
Mailing address
2792 OCEAN AVE UNIT 5, BROOKLYN, NY 11229-4730

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336M0002X
Mail Order Pharmacy
Primary

Other

Enumeration date
09/29/2020
Last updated
09/29/2020
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