NPI | 1053698951 |
---|---|
Doing Business As | WEST 142ND STREET PHARMACY CORP |
Entity Type | Organization |
Authorized Contact | LYUBA MALAKOVA Manager 917-704-5601 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030934) |
Enumeration Date | 2011-11-07 |
Last Update Date | 2014-05-09 |