| NPI | 1821158684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAGHDADI Supervising Pharmacist 718-332-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-26 |