| NPI | 1467955385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS NEKTALOV Official 929-387-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2020-12-03 |