| NPI | 1396497756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRR S BAHLOOL Supervising Pharmacist 347-806-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |