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 |