| NPI | 1467018952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALKIYEL DAVYDOV Managing Member 201-624-8015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |