| NPI | 1598044216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALAJI DUDDUKURU President 718-618-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 030788) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2021-10-05 |