| NPI | 1255986790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIAYUN LIN Pharmacist 718-888-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2025-05-08 |