| NPI | 1801178702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLAMARIA VIKATOS Pharmacist 718-545-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031002) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2014-10-31 |