Organization
FREEPORT RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KHAIMOVA (PRESIDENT)
(646) 352-0151
Entity
Organization
Contact information
Practice address
132 W SUNRISE HWY, FREEPORT, NY 11520-3521
(646) 352-0151
(646) 352-0116
Mailing address
132 W SUNRISE HWY, FREEPORT, NY 11520-3521
(646) 352-0151
(646) 352-0116
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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