| NPI | 1538669833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIVA TESSLER Supervising Pharmacist 718-982-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 035195) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |