| NPI | 1396036364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR MOHAMMAD Pharmacist 718-618-7081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030555) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |