| NPI | 1194413278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALAEV President 347-507-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-12-13 |