| NPI | 1558357541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATWAR G GEVARIA Supervising Pharmacist 718-654-6974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 024415) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-02-29 |