NPI | 1275908816 |
---|---|
Doing Business As | MCLEAN AVE PHARMACY CORP |
Entity Type | Organization |
Authorized Contact | MUHAMMAD SHAHID President 914-327-4888 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034092) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-12-08 |
Last Update Date | 2016-06-16 |