| NPI | 1699536169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAOLONG LI Supervising Pharmacist 646-826-9187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-10-21 |