| NPI | 1255415030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH YARMOLINSKY Owner 718-675-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 025147) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NY 025147) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025147) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NY 025147) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-08-21 |