| NPI | 1457408395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USAMA S EDRIS President Sp Pharmacist 718-857-3499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026629) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-08-06 |