| NPI | 1851488837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRAPRASAD VENIGALLA President 718-399-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 024379) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2023-03-07 |