| NPI | 1467517623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL RAVURI President 718-777-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (Licence: NY 027110) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |