| NPI | 1023113677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BENINCASA S P 516-354-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 015262) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2013-09-19 |