| NPI | 1073219887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KOGAN President 718-530-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |