| NPI | 1417265265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTUR KRASNOPOLSKIY Owner 718-314-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph24872) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: FL ph25248) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ph24872) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2015-07-07 |