| NPI | 1689976953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJANTHA BOMMAREDDY President 212-666-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 030363) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2012-08-09 |