NPI | 1558315002 |
---|---|
Doing Business As | MANHATTAN BEACH PHARMACY INC |
Entity Type | Organization |
Authorized Contact | VLADIMIR VAKSER President 718-332-2210 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027503) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 027503) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2016-11-08 |