| NPI | 1124154067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMILA DESAI President 718-893-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 028737) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2017-01-17 |