| NPI | 1912145947 |
|---|---|
| Doing Business As | TRADITIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MARINA BURMAN Owner 917-804-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |