| NPI | 1689610131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHWANATHAM CHIKOTI Owner Su VP Phrm 718-206-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027639) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-06-06 |