| NPI | 1225154339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA SHALOM Pharmacist 718-678-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-10-15 |