| NPI | 1932529823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX BLUMIN Owner/Manager 718-288-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 032724) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NY 032724) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 032724) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2014-04-18 |