| NPI | 1679266324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KANDCHOROV Supervising Pharmacist/Owner 347-567-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-06-26 |