| NPI | 1043746969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA NYARKO Supervising Pharmacist 347-449-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 3336C0004X) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035405) |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |