| NPI | 1710558168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALEEN PATEL CEO/Owner 347-913-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-11-01 |