| NPI | 1013080209 |
|---|---|
| Doing Business As | CITY LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JOBY NELLICKEL President, PIC 718-324-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 026513) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2018-05-07 |