| 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 |