| NPI | 1578622775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA GUREVICH R Ph Pharmacist 718-232-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026670) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 026670) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-03-26 |