| NPI | 1407690183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUDASAR KHAN Supervising Pharmacist 347-831-8240 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |