| NPI | 1669508818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABU S AZAM Sp 718-827-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 024286) |
| Enumeration Date | 2007-02-24 |
| Last Update Date | 2020-08-22 |