| NPI | 1083640411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MOLANO Pharmacist In Charge 718-293-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 017229) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2024-11-12 |