| NPI | 1992046130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA NYARKO Pharmacist 718-872-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 031737) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-11-15 |