| NPI | 1235215542 |
|---|---|
| Doing Business As | GOODMAN PLAZA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SUDARSANA VARMA UDDARAJU Supervising Pharmacist 718-842-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025129) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2007-10-18 |