| NPI | 1396164232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRINA PICHKHADZE CEO 718-282-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032868) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2018-07-19 |