| NPI | 1336154962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE LEE President 718-478-1135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 027809) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-09-08 |