| NPI | 1386703387 |
|---|---|
| Doing Business As | WYCKOFFS CORNER PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BASSAM AMIN President 718-923-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028056) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2012-12-05 |