| NPI | 1780194415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABISMAEL QUILES SERRANO President 718-880-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2017-10-09 |