| NPI | 1457782013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VYACHESLAV PYAK President 718-606-8965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032412) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2021-01-26 |