| NPI | 1528621414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON CHANG WOOK JEON President 718-353-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2020-08-04 |