Organization
ELIOT RX PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VYACHESLAV MASHKABOV (PRESIDENT)
(917) 916-8345
Entity
Organization
Contact information
Practice address
8218 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1437
(718) 406-9222
Mailing address
8218 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1437
(718) 406-9222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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