| NPI | 1215353461 |
|---|---|
| Doing Business As | HEALTH PATH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | IGOR YAKUBOV President 718-997-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-08-20 |