| NPI | 1942779665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MUYIR Owner 347-909-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 291U00000X Clinical Medical Laboratory | |
| 305S00000X Point of Service | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2024-06-18 |