| NPI | 1346130705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPEN PRAJAPATI Pharmacist In Charge 718-590-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-07-31 |