| NPI | 1942530324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY LALEHZAR Pharmacy Manager 718-423-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 053170) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |