| NPI | 1942645395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARKADY CHEPKUNOV Pharmacist 845-507-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031896) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |