| NPI | 1619335528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILIYA DAVYDOVA Supervising Pharmacist/Manager 718-483-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-10-17 |