| NPI | 1023498656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAID ABDELKADER Supervising Pharmacist 718-915-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033548) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2016-01-11 |