| NPI | 1588124101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEHAL PATEL Vice President 718-727-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2021-03-16 |