| NPI | 1497083349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SALEEM Supervising Pharmacist 718-238-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy Institutional Pharmacy (Licence: NY 029828) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2010-10-14 |