| NPI | 1114691656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANKIBEN PATEL Supervising Pharmacist/Manager 917-409-3891 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-08-08 |
| Last Update Date | 2024-05-09 |