| NPI | 1669839536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERGES AZEEZ Manager 718-677-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034265) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-02-12 |