| NPI | 1588792865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR FLEYSHMAKHER President 917-446-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00668800) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NJ 28RS00668800) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NJ 28RS00668800) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-11-30 |