| NPI | 1437545035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI AGBASIONWE Supervising Pharmacist 347-424-6845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033495) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2016-05-02 |