Provider Demographics
NPI:1689471757
Name:KOMIL PHARMACY INC.
Entity type:Organization
Organization Name:KOMIL PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KOMILJON
Authorized Official - Middle Name:
Authorized Official - Last Name:URAZBADALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-396-5042
Mailing Address - Street 1:3876 10TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-6112
Mailing Address - Country:US
Mailing Address - Phone:347-396-5042
Mailing Address - Fax:
Practice Address - Street 1:3876 10TH ST
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-6112
Practice Address - Country:US
Practice Address - Phone:347-396-5042
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy