| NPI | 1508357989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANISLAV ZAVULUNOV Managing Member 347-389-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 036542) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2026-01-08 |