| NPI | 1962860015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA JAZRAWI Pharmacy District Manager 212-529-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 058713) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |