| NPI | 1659635787 |
|---|---|
| Doing Business As | ROOSEVELT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BORIS ISAKOV President 516-442-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031346) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2019-02-26 |