| NPI | 1407902356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOCAMAGU TUSWA Pharmacist 718-623-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026399) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-27 |