| NPI | 1639563141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JAMRON Owner/President 718-272-4566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033428) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2016-01-19 |