| NPI | 1033462429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR KHRAPKO Supervising Pharmacist 718-395-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2016-10-31 |