| NPI | 1336275387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDAMI Y BRITO DE TORIBIO Owner 718-484-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 017576) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 00726018) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-07-22 |