| NPI | 1972253938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYANK PATEL Owner/President/Pharmacist 718-466-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2023-10-25 |