NPI | 1548518681 |
---|---|
Doing Business As | CONCORDIA PHARMACY |
Entity Type | Organization |
Authorized Contact | BHAVESH GAJERA Owner 718-328-2833 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: NY 034889) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2012-08-21 |
Last Update Date | 2016-12-01 |