| NPI | 1477010049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONGJIE LI Manager 718-998-8688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2023-08-17 |