| NPI | 1578087136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEKONG ZENG Manager 718-762-2099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035609) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |