| NPI | 1023116050 |
|---|---|
| Doing Business As | K S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SIMON ILIZAROV President 718-459-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 024647) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |