| NPI | 1801628292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL VOLYNSKY Owner 718-502-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |