| NPI | 1932967437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARD MAKSUMOV President 929-556-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2024-03-08 |