| NPI | 1235599093 |
|---|---|
| Doing Business As | SURF AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROMAN ISRAILOV President 718-266-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |