NPI | 1003278656 |
---|---|
Former Legal Business Name | CUSTOMRXPHARMACYLLC |
Entity Type | Organization |
Authorized Contact | ALBERT PINKHASOV Pharmacist 718-830-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034366) |
Enumeration Date | 2016-03-23 |
Last Update Date | 2016-12-16 |