| NPI | 1629147012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERSEL KOHANTEB President 718-384-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 024761) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2022-08-09 |