| NPI | 1356609143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL LERMAN President 718-667-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031161) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2013-05-28 |