NPI | 1518483940 |
---|---|
Doing Business As | NOVA PHARMACY QUEENS, LLC |
Entity Type | Organization |
Authorized Contact | LATCHMIN RAGHUNAUTH Supervisor 718-450-9595 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-08-17 |
Last Update Date | 2017-08-17 |