| NPI | 1932697216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUHAMMAD TUQEER AJMAL President 518-960-7582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 036519) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2021-06-08 |