| NPI | 1609966498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD CHINTAMANENI President 718-665-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023974) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2010-03-09 |