| NPI | 1316343726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FAOUR Owner 917-498-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033314) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2015-10-28 |