| NPI | 1538394911 |
|---|---|
| Doing Business As | COMMUNITY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SALMAN ALI Supervising Pharmacist 347-323-6738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029611) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 6338240001) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2010-04-05 |