Organization
MED SCRIPT PHARMACY INC
Active
Other names
Med Script Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIL SHIMONOV (OWNER)
(718) 658-9300
Entity
Organization
Contact information
Practice address
8342 PARSONS BLVD, JAMAICA, NY 11432-1642
(718) 658-9300
(718) 658-2700
Mailing address
8342 PARSONS BLVD, JAMAICA, NY 11432-1642
(718) 658-9300
(718) 658-2700
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3228228
—
NY
01
—
5801039
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/07/2010
Last updated
01/09/2013
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