| NPI | 1073624169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAMMATIKOS GEORGE LAMBRAKIS Supervising Pharmacist 718-331-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023388) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 023388) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-02-05 |