| NPI | 1194529644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISEY RAKHMINOV President 347-395-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-08-20 |