| NPI | 1174039663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDAMI TORIBIO Owner 718-618-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035957) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2022-12-11 |