| NPI | 1366630006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYAVANI RAVURI-BONAM President 347-248-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028413) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |