NPI | 1013282722 |
---|---|
Doing Business As | ATHENAS PHARMACY |
Entity Type | Organization |
Authorized Contact | MIKHAIL BORUKHOV President 718-204-7867 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031325) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2012-03-13 |
Last Update Date | 2019-02-06 |