| NPI | 1730476359 |
|---|---|
| Doing Business As | BOOTH MEMORIAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAHZAD NAWAZ President 718-445-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: NY 030752) |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2011-07-03 |