| NPI | 1629204367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUGU REDDY Owner/Supervising Pharmacist 718-623-8930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 029683) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2011-04-07 |