| NPI | 1083248694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID NUDELMAN Owner/Supervising Pharmacist 212-249-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-03-09 |