| NPI | 1215387931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHARIA RAHMAN Manager 718-385-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034594) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2018-01-24 |