| NPI | 1932104346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD ALI Owner 718-522-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 021642) | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2021-02-11 |