| NPI | 1699154732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN LIU Corp. Officer 718-699-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033562) |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |