| NPI | 1083092811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA KALONTAR Supervising Pharmacist 718-786-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 033466) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2022-06-23 |