| NPI | 1609850189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED MAHMOUD NEGM Supervisor/Pharmacist 718-456-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 019736) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-08-22 |