NPI | 1003964578 |
---|---|
Doing Business As | SUMNER AVE PHARMACY |
Entity Type | Organization |
Authorized Contact | RUKMIN PERSAND Manager And Owner 718-455-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023189) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-05-20 |