| NPI | 1710310693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HASSAN MUYIR Owner 917-407-7443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 032141) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NJ 28RO00122600) | |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2018-06-12 |