| NPI | 1861759789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA NISANOV President 212-996-5929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 052402) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2013-03-11 |