| NPI | 1396282141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENADY MAYZEL President 718-484-3361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035171) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-04-05 |