| NPI | 1801313770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADAF KHAN Pharmacist 718-584-7531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 035560) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2018-07-19 |