| NPI | 1750426383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MELANTHIOU Supervising Pharmacist 718-396-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 024469) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2016-05-04 |