| NPI | 1801958731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMSUL K BAKAR Supervising Pharmacist 718-992-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NY 044114) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-11-18 |