| NPI | 1861005357 |
|---|---|
| Doing Business As | CITY LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KALPESH PATEL Vice President 718-324-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-27 |