| NPI | 1740976083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAKHRAMON FAYZIEV President 516-304-5602 |
| 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 | 2025-08-11 |