| NPI | 1942609904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANGA SANTOSH NARLA Manager/Supervising Pharmacist 718-872-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 034264) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2018-11-27 |