| NPI | 1801015987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAD MAHMOOD SIDDIQUI Supervising Pharmacist 718-733-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 018397) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |