NPI | 1821102716 |
---|---|
Doing Business As | AUSTRA LINE PHARMACY INC |
Entity Type | Organization |
Authorized Contact | CHINEDU AGBASIONWE President 718-531-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 027830) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2006-08-18 |
Last Update Date | 2017-02-20 |