| NPI | 1992976872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CHONG Pharmacist In Charge 718-292-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 027105) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2024-02-27 |