| NPI | 1093728149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDR RUBIN Pharmacist 718-368-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2025-11-13 |