| NPI | 1659431310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAGADEESH GUMMELLA Supervising Pharmacist 212-254-7307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 025186) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2013-05-10 |