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Organization

DOMA RX INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROMAN DOMATOV (PRESIDENT)
(718) 487-3437
Entity
Organization

Contact information

Practice address
9619 69TH AVE UNIT 1, FOREST HILLS, NY 11375-5139
(718) 487-3437
(718) 487-3205
Mailing address
9619 69TH AVE UNIT 1, FOREST HILLS, NY 11375-5139
(718) 487-3437
(718) 487-3205

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
02/19/2024
Last updated
02/19/2024
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