| NPI | 1457931271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINEL MOGILEVICH Supervising Rph 718-559-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2022-11-21 |