| NPI | 1164864039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONE SHAKER YANY Pharmacy Manager 347-784-1704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-07-21 |
| Last Update Date | 2013-08-26 |