| NPI | 1548783723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTSION ISAACOV President 718-641-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 035612) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 035612) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |