Organization
MEA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA SHIMANOVA (PRESIDENT)
(718) 480-1301
Entity
Organization
Contact information
Practice address
8144 LEFFERTS BLVD, KEW GARDENS, NY 11415-1730
(718) 480-1301
(718) 480-1302
Mailing address
8144 LEFFERTS BLVD, KEW GARDENS, NY 11415-1730
(718) 480-1301
(718) 480-1302
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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