| NPI | 1841518248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX FLEYSHUIAKLIER Owner 218-220-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030212) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 030212) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NY 030212) | |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2012-01-18 |