| NPI | 1639819444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KAKZANOV President 718-897-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-10-23 |