| NPI | 1508337023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIHAN F TADOROS Pharmacy Supervisor/Pharmacy Owner 917-593-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |