| NPI | 1316664873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INESSA BORUKHOVA President 718-928-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-05-26 |