| NPI | 1003254194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUIRY DAVYDOV President 718-749-5021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031407) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2013-06-11 |