| NPI | 1104064666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSSEF FOUERTI Pharmacist 718-627-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: 043187-1) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-08-24 |