| NPI | 1801300645 |
|---|---|
| Doing Business As | SURF AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VERANIKA SPETALIUN President 718-266-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 036029) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-07-19 |