NPI | 1487132064 |
---|---|
Entity Type | Organization |
Authorized Contact | MAKS KUTSAK President 347-861-0091 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2018-08-05 |
Last Update Date | 2018-08-05 |