| NPI | 1235675190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX KOCHANOFF Pharmacist 718-533-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023598) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-02-27 |