| NPI | 1831951045 |
|---|---|
| Doing Business As | VIDA MAS FARMACIA HUNTINGTON STATION |
| Entity Type | Organization |
| Authorized Contact | ROSHEL SIONOV Owner 631-683-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-05-28 |