| NPI | 1972902351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL J MARTINEZ President 718-880-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032914) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2016-02-22 |