| NPI | 1841668092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMBAL ASIF Gm 347-899-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 060915) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |