| NPI | 1003174392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA OSPOVAT President 718-209-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031133) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-07-11 |