| NPI | 1700948585 |
|---|---|
| Doing Business As | MACOMBS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SYED Y RAZA President 718-299-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NY 026372) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2012-07-10 |