| NPI | 1164567061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SAZAN Owner 718-621-0204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 026882) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-11-25 |