| NPI | 1164735973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY CHU Supervising Pharmacist 718-888-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 030265) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2012-02-06 |