| NPI | 1235529041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD RAHMAN Supervising Pharmacist 718-484-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-10-19 |