| NPI | 1346593779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY VASIREDDY Owner 718-638-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031770) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2015-09-21 |