| NPI | 1720131949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | USHA TULSIANI Supervising Pharmacist 718-267-2766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027465) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2012-02-20 |