| NPI | 1699142992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED MOUSTAFA Pharmacist 917-485-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 24259) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03711700) |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |