| NPI | 1942295746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRAVADAN THAKKER Vice President 718-328-3784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 023294) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 023294) |
| Enumeration Date | 2005-09-18 |
| Last Update Date | 2008-05-19 |