| NPI | 1821806290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMUR YUZEFPOLSKIY Managing Member 929-375-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |