| NPI | 1457726796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEV FUZAYLOV President 718-975-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034283) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2016-09-06 |