| NPI | 1821157140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUS GARCIA President 718-543-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 019406) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |