NPI | 1770695314 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP PENG V. President 718-686-0812 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 023483) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-02-25 |