| NPI | 1366098345 |
|---|---|
| Doing Business As | HILLSIDE RX |
| Entity Type | Organization |
| Authorized Contact | ELENA DEREVYANKO President 718-739-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |