| NPI | 1134521487 |
|---|---|
| Doing Business As | MICHAEL'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MIKE KOSTYLEV President 718-921-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032925) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2016-09-13 |