| NPI | 1962860924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOKANAN RAMDHANIE Pharmacy Supervisor 516-658-0875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 059621) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |