| NPI | 1548007958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADISLAV AMINOV Owner/Supervising Pharmacist 718-480-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-07-12 |