| NPI | 1720597008 |
|---|---|
| Other Name | WILLIS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMINA NADEEM President 718-585-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035797) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2018-04-19 |