| NPI | 1417454885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL KHAN Owner 929-208-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 036064) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2018-09-14 |