| NPI | 1205666831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD A ISHTIAQ VP 718-799-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2025-10-13 |