| NPI | 1518456623 |
|---|---|
| Doing Business As | SOUTHERN PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | ANAR YUSUFOV President 347-918-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 036580) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-07-19 |