Organization
MERRICK WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUGANI NABIEV (PRESIDENT)
(718) 525-1500
Entity
Organization
Contact information
Practice address
12614 MERRICK BLVD STE F, JAMAICA, NY 11434-3431
(718) 525-1500
(718) 525-1505
Mailing address
12614 MERRICK BLVD STE F, JAMAICA, NY 11434-3431
(718) 525-1500
(718) 525-1505
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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