MEDICARE: ALMAZ RX, CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1023953551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALMAZ RX, CORP.

Provider Business Mailing Address
First Line	:	9508 65TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-4176
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9508 65TH RD
Second Line	:
City	:	REGO PARK
State	:	NY
Zip	:	11374-4176
Country	:	US
Telephone Number	:	917-846-5990
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MIKHAIL BORUKHOV
Credential	:
Telephone Number	:	917-846-5990

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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