| NPI | 1912416298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY WONG Supervising Pharmacist 718-259-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035558) |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2022-07-21 |