| NPI | 1558315002 |
|---|---|
| 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 |