| 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 |