| NPI | 1225490360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISADA MANSOUR Owner 347-639-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034819) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2023-03-24 |