| NPI | 1679808018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAINA VINOKUR Supervising Pharmacist 917-528-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029587) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2010-12-10 |