| NPI | 1972511244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOHRA KIDWAI Owner 718-467-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 022451) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-03-19 |