| NPI | 1447718770 |
|---|---|
| Doing Business As | 168 LONGEVITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ZHAO YING LIN President 718-799-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2021-08-05 |