| NPI | 1679574669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY W YUEN Supervising Pharmacist 718-645-1227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 027140) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2025-04-24 |