| NPI | 1922429273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY DAVYDOV Owner/Pharmacist 718-585-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032398) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 032398) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 032398) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 032398) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |