| NPI | 1093232852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABA YAKUBOV Owner 718-997-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035652) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2023-06-26 |