| NPI | 1134543671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA SIMO President 718-618-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032466) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2016-06-06 |