| NPI | 1669936704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUVEN AMINOV President 718-793-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |