| NPI | 1124188362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAHID HOSSAINI Owner 718-465-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 026671) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |