| NPI | 1902406036 |
|---|---|
| Doing Business As | HILLSIDE RX |
| Entity Type | Organization |
| Authorized Contact | ANASTASIYA LAVNIKOVICH President 718-480-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2021-12-08 |