| NPI | 1629063367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT HO Owner 718-539-8999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027290) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2019-09-26 |