| NPI | 1205782851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LEVIEV Owner 718-578-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |