Medisource Pharmacy LLC
NPI #1215197991 in Plainview, New York
Provider Information
- NPI Number
- 1215197991
- Entity Type
- Organization
- Organization Name
- Medisource Pharmacy LLC
- Primary Specialty
- Pharmacy - Specialty Pharmacy
- Enumeration Date
- Jun 16, 2008
- Last Updated
- Jan 27, 2026
Practice Location
Authorized Official
- Name
- ROZA DAVIDOV
- Title
- OWNER
- Phone
- (516) 615-2974
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Specialty Pharmacy — Specialty Pharmacy |
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