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 |