NPI | 1740976083 |
---|---|
Entity Type | Organization |
Authorized Contact | LEHRAN AVI YAKUBOV President 516-439-4055 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-04-11 |
Last Update Date | 2024-02-22 |