| NPI | 1043051477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALEXANDER MARAKHOVSKY Principal 917-337-5266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |