| NPI | 1710202874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX GELBINOVICH Pharmacist/Owner 718-676-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029960) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |