| NPI | 1851820740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD YAKUBOV Supervising Pharmacist 516-472-7688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-01-27 |