Dna Rx 101 Corp

NPI #1659904605 in Glendale, New York

Provider Information

NPI Number
1659904605
Entity Type
Organization
Organization Name
Dna Rx 101 Corp
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Feb 18, 2020
Last Updated
Feb 18, 2020

Practice Location

Address
6505 MYRTLE AVE
ZIP Code
11385-6248
Phone
(929) 250-2226

Authorized Official

Name
DIANA NERYAEV, RPH
Title
PRESIDENT/PHARMACIST
Phone
(929) 250-2226

Specialties & Taxonomy Codes

Specialty
Pharmacy
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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