| NPI | 1821142324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO P AKKINENI Pharmacist 718-774-9613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 022689) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |