| NPI | 1023853181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILYA YUSHANAYEV Owner 718-551-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |