| NPI | 1801926019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOYA BAS Owner 718-677-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-03-03 |