NPI | 1790020089 |
---|---|
Doing Business As | FORDHAM HEALTH PHARMACY |
Entity Type | Organization |
Authorized Contact | RAFAEL KHAIMOV President 718-220-7232 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2012-11-28 |
Last Update Date | 2012-11-28 |