| NPI | 1932245875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN OMAR GBENEBITSE Supervising Pharmacists President 718-834-9884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 020974) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2011-01-20 |