| NPI | 1487847471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA BASIN Supervising Pharmacist 718-333-9133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028473) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-05-30 |