| NPI | 1356971006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DAVIDOV President 718-650-3526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2025-06-23 |