| NPI | 1558782102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNTASIR AZMI Pharmacist 347-285-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CT PCT.0012856) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03612000) |
| Enumeration Date | 2013-12-29 |
| Last Update Date | 2013-12-29 |