| NPI | 1326695545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM KALIDINDI Managing Member 917-769-8014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2019-08-22 |