| NPI | 1710433925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LI H HOM Pharmacy Manager 929-329-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 034768) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2017-11-22 |