| NPI | 1407322811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED A ELSAYED Owner 347-653-7782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2025-09-03 |