| NPI | 1306972351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENU G. MADDUKURI Pharmacist, Owner 718-365-3451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 026865) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 02622351) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |