| NPI | 1033369087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKSIM GLEZER Pharmacist 917-597-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 029094) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029094) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2009-01-26 |