NPI | 1003966821 |
---|---|
Doing Business As | CORONA HEIGHTS PHARMACY |
Entity Type | Organization |
Authorized Contact | MIRVICE AHMAD Owner/ Supervising Pharmacist 718-699-5099 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2007-01-12 |
Last Update Date | 2023-07-18 |