| NPI | 1225310923 |
|---|---|
| Other Name | MAZOL FATAKHOVA |
| Entity Type | Organization |
| Authorized Contact | MAZOL FATAKHOVA Pharmacist 6467-855-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 20056294) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2011-09-19 |