| NPI | 1417180464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRANAV B SHAH Manager 718-848-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 029644) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2010-12-07 |