| NPI | 1174190391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANERIS JIMENEZ President 347-597-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-05-29 |