Oxybora Distributing, LLC
NPI #1609029297 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1609029297
- Entity Type
- Organization
- Organization Name
- Oxybora Distributing, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 28, 2008
- Last Updated
- Aug 26, 2014
Practice Location
- Address
- 4335 EXCELSIOR BLVD
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4811
- Phone
- (952) 922-4444
Authorized Official
- Name
- BORIS RABICHEV
- Title
- CEO
- Phone
- (612) 877-2842
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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