| NPI | 1932290574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJANTHA BOMMAREDDY President 718-538-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 018170) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-02-22 |