NPI | 1396861662 |
---|---|
Doing Business As | OMEGA PHARMACY |
Entity Type | Organization |
Authorized Contact | REGINA FUZAYLOVA Owner 212-234-4666 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 028220) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-03-21 |
Last Update Date | 2016-04-12 |