| NPI | 1770083206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YING DUN Pharmacist In Charge 718-650-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ 28RS00760030) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-10-25 |