| NPI | 1073907838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADA MATATOVA President 718-523-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033375) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |