| NPI | 1609204346 |
|---|---|
| Doing Business As | MOTTHAVEN PHARMACY & SURGICAL |
| Entity Type | Organization |
| Authorized Contact | AMIT PATEL President 718-292-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032644) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2015-03-26 |