| NPI | 1790156545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAHMAJI VALIVETI President 917-676-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033965) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-10-31 |