| NPI | 1013057553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KWACK Manager 212-912-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 017898) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2016-10-10 |