| NPI | 1780982256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALPESH MAFATBHAI PATEL Supervising Pharmacist 718-485-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 030829) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2022-03-31 |