| NPI | 1962779074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAPA ADJEI Pharmacist In Charge 347-947-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031092) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2018-07-19 |