| NPI | 1629155734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR HERNANDEZ President 718-294-3770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028000) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-05-25 |