| NPI | 1487204798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WEIHAO XIE Supervising Pharmacist 212-304-0649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2022-09-08 |