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 | 332B00000X Durable Medical Equipment & Medical Supplies |
291U00000X Clinical Medical Laboratory | |
305S00000X Point of Service | |
Enumeration Date | 2018-11-26 |
Last Update Date | 2023-08-29 |