| NPI | 1760257059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA DAN ZHANG Pharmacist In Charge 917-667-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2025-05-06 |