| NPI | 1710989553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAZIA BHATTI Supervising Pharmacist 718-485-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 012671) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2008-03-13 |