| NPI | 1053165365 |
|---|---|
| Doing Business As | DORIS FASHION OUTLET AND VARIETY STORE |
| Entity Type | Organization |
| Authorized Contact | DORIS OBENG Manager 718-502-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-19 |