| NPI | 1396047544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APARNA RATHOD Supervising Pharmacist 718-880-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2014-01-15 |