| NPI | 1700973062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIZAZ FARUQUE Owner 718-991-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 018812) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |