NPI | 1861512527 |
---|---|
Entity Type | Organization |
Authorized Contact | FIDELIS TONY IBEH Owner 718-826-6117 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 040602) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |