| NPI | 1093960056 |
|---|---|
| Doing Business As | BOARDWALK RX CORP |
| Entity Type | Organization |
| Authorized Contact | STANISLAV DOLINSKY President 718-996-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029236) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2016-12-01 |