| NPI | 1659026425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAI PRAKASH President 917-251-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2025-05-21 |