| NPI | 1508871120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYAM MADOOR Pharmacist 212-987-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026093) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-06-26 |