| NPI | 1811678527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADORATHON ORIFZODA Supervising Pharmacist 347-240-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-04-02 |