| NPI | 1316920606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESH A PATEL Supervising Pharmacist 718-860-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 025374) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2008-03-28 |