| NPI | 1376108670 |
|---|---|
| Doing Business As | SUTPHIN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | OMID FAROKHPOUR Owner 718-291-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |