| NPI | 1801522297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA KIM President 718-799-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-01-08 |