| NPI | 1194191502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN KHORSHIDI Pharmacist 516-263-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033891) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-09-01 |