| NPI | 1942624044 |
|---|---|
| Doing Business As | SURF AVENUE PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | ARTUR MALACHOV President 718-266-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032533) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2016-10-10 |