| NPI | 1538617899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEDA ISLAM Owner/President/PIC/AO 718-684-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034924) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-10-12 |