| NPI | 1316966591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN LIU Corp. Officer 212-966-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 026567) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-04-19 |