| NPI | 1770309858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIGALIT B SOOLAEV President 718-544-7182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2024-11-23 |
| Last Update Date | 2025-07-03 |