| NPI | 1528110145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUNMING LIN Pharmacist 718-345-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 028101) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |