Organization
BISOMA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURIY ILYAICH (PRESIDENT)
(718) 217-2091
Entity
Organization
Contact information
Practice address
20520 JAMAICA AVE, HOLLIS, NY 11423-3021
(718) 217-2091
(718) 217-2138
Mailing address
20520 JAMAICA AVE, HOLLIS, NY 11423-3021
(718) 217-2091
(718) 217-2138
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/31/2020
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