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 |