| NPI | 1407909856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAUD ANSARI Owner 516-374-2930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 021175) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 039031) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2014-11-04 |