| NPI | 1841611506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT LEONG Supervising Pharmacist 917-923-0685 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2024-05-02 |