| NPI | 1609376573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL KIKIROV Pharmacist In Charge 212-426-6484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2023-04-25 |