| NPI | 1285001230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CHANDHOK Pharmacist 6462-269-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 061019) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |