Organization
PHYSIO PHARMACY INC
Active
Other names
Rx Expresso
Organization subpart
No
Provider details
NPI number
Authorized official
ILYA SHOLOMOV (OWNER)
(631) 424-0125
Entity
Organization
Contact information
Practice address
488A E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7312
(631) 424-0125
(631) 385-1582
Mailing address
488A E JERICHO TPKE, HUNTINGTON STATION, NY 11746-7312
(631) 424-0125
(631) 385-1582
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
10/31/2025
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