| NPI | 1902188493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA SAMBORSKY Owner/PIC 718-336-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031061) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2017-02-16 |