| NPI | 1952836272 |
|---|---|
| Doing Business As | NORTHERN BLVD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAHINUL HAQUE Supervising Pharmacist 718-899-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 035332) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |