| NPI | 1700232030 |
|---|---|
| Doing Business As | ST. THERESA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BORUKH AMINOV Owner 917-767-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |