| NPI | 1407144256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM KHEIRABI Owner/Pharmacist 212-444-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 0531681) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 0531681) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 0531681) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 0531681) | |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |