| NPI | 1114942976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD MONSUR AHMED CHOWDHURY Supervising Pharmacist 718-846-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027589) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |