| NPI | 1235686718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDRIS VINCENT President 718-462-2029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 034793) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |