| NPI | 1134528045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANKAJ GARG Owner 585-576-7902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: PA MD437257) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |