| NPI | 1780799726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVA WALME Owner 718-387-2426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 019468) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2011-03-07 |