Organization
OXYBORA DISTRIBUTING, LLC
Active
Organization
OXYBORA DISTRIBUTING, LLC
Active
Other names
Best Aid Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS RABICHEV (CEO)
(612) 877-2842
Entity
Organization
Contact information
Practice address
4335 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4811
(952) 922-4444
(952) 922-4455
Mailing address
4335 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4811
(952) 922-4444
(952) 922-4455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
263262
MN
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117770
PK
—
Enumeration date
10/28/2008
Last updated
08/26/2014
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