| NPI | 1598322760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILANA AMINOVA Owner/Supervising Pharmacist 646-226-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |