| NPI | 1124551288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL KWAKYE Supervising Pharmacist 718-483-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032975) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |