| NPI | 1841751773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MD NURUZZAMAN Supervising Pharmacist 718-296-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |