| NPI | 1285731109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVRAHAM PUDEL Pesident 718-439-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 027438) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-02-27 |