| NPI | 1235577644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANIA SHAKER Pharmacy Manager 718-223-3467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: FL PH30516) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2017-02-15 |