| NPI | 1275930612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIN AYOUB Pharmacist 917-613-2593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033235) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |