NPI | 1063737781 |
---|---|
Doing Business As | EXPRESS PHARMACY |
Entity Type | Organization |
Authorized Contact | IGOR GRABOV Vice President 718-466-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029959) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-05-12 |