| NPI | 1578272514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHURAM JAMIL Owner 347-721-3566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-04-26 |