| NPI | 1477561702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALPESH SHAH Owner, PIC 718-220-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 026418) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-01-04 |