| NPI | 1881934636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABED MANSUR Supervising Pharmacist 718-484-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031667) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2024-10-01 |