| NPI | 1790135192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAMANTIS KAKATSOS Owner 917-880-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 034732) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-11-30 |