| NPI | 1699824516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKHIL PATEL Authorized Official 718-294-7899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-03-30 |