| NPI | 1275888463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALOM RAKHMINOV Pharmacist 718-253-4900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 30383) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |