| NPI | 1740658426 |
|---|---|
| Doing Business As | 167TH ST PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICARDO PEREZ President 718-975-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2016-05-24 |