| NPI | 1235620915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ITSKHAKOV President 718-484-8044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |