| NPI | 1831255710 |
|---|---|
| Doing Business As | NEW YORK BOULEVARD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BANANI DUTTA President 718-297-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 019986) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2014-11-03 |