Organization
MYRTLE MEDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN DAVIDOV (PRESIDENT)
(718) 650-3526
Entity
Organization
Contact information
Practice address
7617 MYRTLE AVE, GLENDALE, NY 11385-7446
(718) 650-3526
(718) 650-3527
Mailing address
7617 MYRTLE AVE, GLENDALE, NY 11385-7446
(718) 650-3526
(718) 650-3527
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06082728
—
NY
Enumeration date
01/22/2020
Last updated
06/23/2025
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