| NPI | 1023328085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA BARANOV President 212-255-6100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 030275) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RO00144100) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2023-02-28 |