| NPI | 1619416492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA YAKUBOV Owner 646-767-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035192) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2025-11-06 |