| NPI | 1710304258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARQAN ALI Owner 718-484-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032757) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2020-07-01 |