| NPI | 1528165479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL AUGUSTO RODRIGUEZ President 718-205-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |