Organization
EZ MYRTLE PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INNA SVIEKLA (OWNER)
(929) 250-2100
Entity
Organization
Contact information
Practice address
6939 MYRTLE AVE, GLENDALE, NY 11385-7265
(929) 250-2100
Mailing address
6939 MYRTLE AVE, GLENDALE, NY 11385-7265
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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