| NPI | 1841309002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANARDAN RAMANATH SHASTRI Supervising Pharmacist 718-881-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 018320) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |