| NPI | 1194415232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILAFRUZ SHOKIROVA Owner 347-730-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2025-03-26 |