| NPI | 1932462009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMED AHMED Supervising Pharmacist 516-852-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031335) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-09-06 |