| NPI | 1982741377 |
|---|---|
| Former Legal Business Name | ELKOCH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ABU J SIDDIQUE Vice President Director Of Pharmacy 718-381-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 025408) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-02-25 |