| NPI | 1295091627 |
|---|---|
| Doing Business As | FULTON MALL PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SHALOM KIKOV President/Supervising R Ph 718-855-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031313) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-07-23 |