| NPI | 1255802153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOKA BENEDICT GOMES CEO/ Doctor Of Pharmacy 347-699-1237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-07-03 |