| NPI | 1013351188 |
|---|---|
| Former Legal Business Name | EBF RX LLC DBA BROOKLY CHEMISTS |
| Entity Type | Organization |
| Authorized Contact | LORI BUMPAS CEO Owner 678-661-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 031756) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2018-10-15 |