| NPI | 1437647799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHING YAU CHEN Supervising Pharmacist 917-862-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2020-07-23 |