| NPI | 1518385418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHAN TRAN Supervising Pharmacist 347-799-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032638) |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2024-09-25 |