| NPI | 1538947429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARKADIY GADAYEV Supervising Pharmacist 516-303-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |