| NPI | 1609249218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS ILYAYEV President 718-749-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033991) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |