| NPI | 1912163536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAHON EVANS IMAFIDON President 718-812-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029002) |
| Enumeration Date | 2008-08-03 |
| Last Update Date | 2023-03-07 |