| NPI | 1275630113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIR AHAMED Supervising Pharm 718-367-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 018934) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-02-28 |