| NPI | 1922105857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAWER IQBAL Manager 718-756-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 023440) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-12-02 |