NPI | 1861900383 |
---|---|
Entity Type | Organization |
Authorized Contact | GRIGORIY YUABOV President 718-777-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035989) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 035989) | |
3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 035989) | |
Enumeration Date | 2018-01-18 |
Last Update Date | 2018-01-18 |