| NPI | 1386720969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY KUDROV Owner 718-441-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 028735) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2011-03-28 |