| NPI | 1518387331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOUSSAM NASSER Vice President 347-419-6737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 032726) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032726) |
| 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: NY 032726) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 032726) | |
| Enumeration Date | 2014-04-19 |
| Last Update Date | 2014-11-29 |