| NPI | 1295231694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD SHAMS Owner 718-439-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 036463) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-04-25 |