Bisoma Pharmacy INC

NPI #1972112993 in Hollis, New York

Provider Information

NPI Number
1972112993
Entity Type
Organization
Organization Name
Bisoma Pharmacy INC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Jul 27, 2020
Last Updated
Jul 31, 2020

Practice Location

Address
20520 JAMAICA AVE
City
Hollis
ZIP Code
11423-3021
Phone
(718) 217-2091

Authorized Official

Name
YURIY ILYAICH
Title
PRESIDENT
Phone
(718) 217-2091

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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