| NPI | 1508479965 |
|---|---|
| Doing Business As | CITY LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHANTABEN PATEL President 718-324-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |