| NPI | 1962145805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL IVANA BRIJLALL Owner 646-483-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2023-07-13 |