| NPI | 1134530702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ISAAKIDIS Vice Pres 718-204-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032996) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2015-05-22 |