| NPI | 1972299758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XIAO ZHANG Supervising Pharmacist 718-679-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |