| NPI | 1831965623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAO LING LIU Owner 347-507-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |