| NPI | 1326760778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WU Supervising Pharmacist 718-971-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-11-28 |