| NPI | 1992186001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA AVIVA COHEN PIC Owner 718-566-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |