| NPI | 1437472008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYYA BRAGARNIK Pharmacist 718-375-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 052681) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |