NPI | 1588893002 |
---|---|
Doing Business As | SLAVA'S PHARMACY |
Entity Type | Organization |
Authorized Contact | VYACHESLAV ISAKOV President 347-554-3629 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2009-07-06 |
Last Update Date | 2009-07-06 |