| NPI | 1851478721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SITHAMBARAM SUBBIAH Pres Phcst 718-624-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 018278) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-08-22 |