| NPI | 1801273248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI CHENNA President 718-364-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 033941) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2017-03-13 |