| NPI | 1477334076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA AMPARO GUTIERREZ GONZALEZ Director 718-255-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |