| NPI | 1699278184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE VASQUEZ President 646-861-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 036560) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2022-02-17 |