| NPI | 1356629919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIN AYOUB Supervising Pharmacist 718-777-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030825) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2012-07-16 |