Organization
JERICHO EXPRESS RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAKHODIR MIRODIMOV (OWNER)
(516) 216-5916
Entity
Organization
Contact information
Practice address
360 JERICHO TPKE, FLORAL PARK, NY 11001-2207
(516) 216-5916
(516) 216-5917
Mailing address
360 JERICHO TPKE, FLORAL PARK, NY 11001-2207
(516) 216-5916
(516) 216-5917
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
06/11/2025
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