| NPI | 1174399844 |
|---|---|
| Doing Business As | FULTON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAFAIL MATATOV President 718-235-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |