| NPI | 1669877510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAIE CHOUDHURY Supervising Pharmacist 718-685-6042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 033027) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 033027) |
| 333600000X Pharmacy (Licence: NY 033027) | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2016-02-23 |