| NPI | 1114338266 |
|---|---|
| Doing Business As | 59 ST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AZIZ BASMAN President 718-567-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032821) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2017-03-08 |