| NPI | 1295238962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UDOKA OKEKEOZO Owner/AO 718-484-7470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 036509) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-07-19 |