| NPI | 1598403735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEM ABDELHADI Pharmacist In Charge 347-675-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-08-29 |