| NPI | 1891784948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTON FALLAH President 718-680-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 025286) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 025286) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-11-18 |