| NPI | 1699145326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL KHAIMOV President 917-771-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033724) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |