| NPI | 1508398967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIYA RACKMAN CEO, PIC 718-262-8789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035333) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-06 |