| NPI | 1952642258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR MATATOV Pharmacist 914-997-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031939) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-12-09 |