| NPI | 1598149478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARUNAKAR BHUPATHI Pharmacy Manager / Pharmacist 212-426-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033831) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2022-06-07 |