| NPI | 1578748919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMEDALI ASAR Supervising Pharmacist 718-217-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 028713) |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2009-04-16 |