NPI | 1093013930 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT WONG Supervising Pharmacist 718-567-3338 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030559) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 030559) |
Enumeration Date | 2011-03-02 |
Last Update Date | 2014-04-28 |