| NPI | 1003968652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEPORE President Supervising Pharmacist 914-965-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 013593) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2023-03-07 |