| NPI | 1134576630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELWALEED IBRAHIM President 718-975-4989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034582) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-07-19 |