| NPI | 1770655912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG PARIKH Pharmacy Manager 718-773-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 047228) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 047228) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-02-16 |