| NPI | 1699974162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAN WANG President 917-579-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH22759) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-06-23 |