| NPI | 1023595949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMJAD HUSSEIN Treasurer/Vice President 718-422-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2024-05-22 |