| NPI | 1659904605 |
|---|---|
| Doing Business As | DIANA'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIANA NERYAEV President/Pharmacist 929-250-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-02-18 |