| NPI | 1093069114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENA PUSTYLNIK Supervising Pharmacist 718-753-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2025-07-25 |