| NPI | 1265813620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAKIRAM AJJARAPU President Owner 267-888-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033760) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2017-03-16 |