| NPI | 1942727862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALOM SAM KIKOV President 718-261-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2022-07-21 |