MEDISOURCE PHARMACY INC
Suppliers at Old Country Rd, Hicksville, NY

License number
New York 028939
Category
Suppliers
Type
Community/Retail Pharmacy
Owner
Name: DAVID KHANTSES
Title: MEMBER
Phone: (516) 605-0080
Address
Address
720 Old Country Rd, Hicksville, NY 11803
National Provider ID: 1215197991
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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