| NPI | 1720184500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MATHEW Pharmacist 718-384-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023172) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2017-03-23 |