| NPI | 1780607150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR MOHAMED Owner 718-667-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 19429) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 19429) |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-02-21 |