NPI | 1174616502 |
---|---|
Doing Business As | SJS PHARMACY INC |
Entity Type | Organization |
Authorized Contact | EDWARD ILYAICH Owner 718-933-1222 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 014956) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-30 |
Last Update Date | 2021-10-12 |