| NPI | 1922456607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABED MANSUR Pharmacist 718-554-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034267) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2018-07-19 |