| NPI | 1174066229 |
|---|---|
| Doing Business As | QUENTIN ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | NATALIE HANUKOV Owner 718-998-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035038) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-04-11 |