| NPI | 1205666831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD A ISHTIAQ VP 718-799-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-09-05 |