| NPI | 1407949183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAKIRAM AJJARAPU President 267-888-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 021645) |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-03-22 |