Organization
ALEXIA S PHARMACY INC
Active
Other names
Care Script Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADIY ABDURAKHMANOV (PRESIDENT)
(718) 487-3677
Entity
Organization
Contact information
Practice address
9605 ROCKAWAY BLVD, OZONE PARK, NY 11417-1612
(718) 487-3677
(718) 487-3602
Mailing address
9605 ROCKAWAY BLVD, OZONE PARK, NY 11417
(718) 487-3677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166931
PK
—
Enumeration date
12/19/2016
Last updated
07/19/2018
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