| NPI | 1295152627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA X JIANG Pharmacist 917-992-2368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032562) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |