| NPI | 1386626190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESH R PATEL Supervising Pharmacist 718-992-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 019212) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2008-02-07 |