| NPI | 1255468773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAI LOI LAU Owner And Supervision Pharmacist 718-401-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 024638) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |