| NPI | 1669812954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB JAMRON CEO 718-991-3519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032158) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-07-19 |