| NPI | 1417965724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY PATEL Owner 718-388-4307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 020097) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-03-24 |