| NPI | 1144580705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSHE MAVLYANOV President 718-441-4693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 032058) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2025-06-16 |