| NPI | 1184010621 |
|---|---|
| Doing Business As | ABC SOURCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KEYONG ZHENG Admin 718-676-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033311) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2015-04-11 |
| Last Update Date | 2023-05-09 |