| NPI | 1659603876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR YAKUBOV President 718-997-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 17029945) |
| Enumeration Date | 2010-02-14 |
| Last Update Date | 2011-02-03 |