| NPI | 1306568175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM FARHOUD Supervising Pharmacist 347-374-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-09-26 |