| NPI | 1245660380 |
|---|---|
| Doing Business As | GREEN FOREST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VITALIY CHERTKOV President 929-333-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032321) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2014-08-06 |