| NPI | 1417031543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARESH KIRIT PATEL Owner 718-991-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 027474) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-09-11 |