| NPI | 1619690567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORIS YUNATANOV Owner/Supervising Pharmacist 718-687-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-06 |