| NPI | 1114244878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR KLEYMAN President/PIC 718-501-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RS00702300) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2014-06-16 |