MEDISOURCE PHARMACY LLC

Specialty Pharmacy · PLAINVIEW, NY

Organization Active NPI 1215197991

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Specialty Pharmacy3336S0011X028939NY
Community/Retail Pharmacy3336C0003X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.