| NPI | 1225848781 |
|---|---|
| Doing Business As | MODERN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAGATA NATH Owner 718-282-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-13 |