| NPI | 1861768558 |
|---|---|
| Doing Business As | MILL BASIN PHARMACY, INC |
| Entity Type | Organization |
| Authorized Contact | MARINA GUREVICH President 718-676-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031105) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2016-02-05 |