| NPI | 1750362992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRIY PERELMAN VP 718-677-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 025578) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-11-06 |
| Last Update Date | 2010-12-15 |