| NPI | 1053524447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW VAGENAS President 718-309-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028222) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-12-03 |