| NPI | 1225043623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENNADIY MATATOV President 718-822-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 018707) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-08-26 |