| NPI | 1841335494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOUR MANSOUR Supervising Pharmacist 718-728-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-21 |