NPI | 1710352836 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANNA ELISHAIYEV Supervising Pharmacist 718-935-1033 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034117) |
Enumeration Date | 2015-12-01 |
Last Update Date | 2019-04-17 |