| NPI | 1093096810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADESHINA SHON BAMIGBADE Pharmacist/Owner 718-547-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 030932) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 030932) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2018-07-04 |