| NPI | 1205078011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO NUNES Owner 718-401-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 029326) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-06-29 |